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Management of postdural puncture headache with epidural saline patch in a 10-year-old child after inguinal hernia repair: A case report

      Abstract

      Spinal anesthesia (SA) is becoming increasingly popular among pediatric anesthetists. Postdural puncture headache (PDPH) has been reported in children. PDPH generally spontaneously resolves within a few days with bed rest and nonopioid analgesics, but it may last for several days. If the symptoms persist, an epidural blood patch is considered as an effective treatment. We describe the successful use of an epidural saline patch in a 10 year-old child with PDPH who did not respond to conservative treatment.

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      References

        • López T.
        • Sánchez F.J.
        • Garzón J.C.
        • et al.
        Spinal anesthesia in pediatric patients.
        Minerva Anestesiol. 2012; 78: 78-87
        • Gök F.
        • Apilioğulları S.
        Epidural blood patch and saline application in children with headache: presentation of 2 case reports.
        Türk Anest Rean Der Dergisi. 2009; 37: 324-327
        • Apiliogullari S.
        • Duman A.
        • Gok F.
        • et al.
        Spinal needle design and size affect the incidence of postdural puncture headache in children.
        Paediatr Anaesth. 2010; 20: 177-182
        • Kachko L.
        • Simhi E.
        • Freud E.
        • et al.
        Impact of spinal anesthesia for open pyloromyotomy on operating room time.
        J Pediatr Surg. 2009; 44: 1942-1946
        • Uguralp S.
        • Mutus M.
        • Koroglu A.
        • et al.
        Regional anesthesia is a good alternative to general anesthesia in pediatric surgery: experience in 1,554 children.
        J Pediatr Surg. 2002; 37: 610-613
        • Apfel C.C.
        • Saxena A.
        • Cakmakkaya O.S.
        • et al.
        Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review.
        Br J Anaesth. 2010; 105: 255-263
        • Cesur M.
        • Alici H.A.
        • Erdem A.F.
        • et al.
        Epidural blood patch with allogeneic blood for post-dural puncture headache.
        Int J Obstet Anesth. 2005; 14: 261-262
        • Collier C.B.
        Blood patches may cause scarring in the epidural space: two case reports.
        Int J Obstet Anesth. 2011; 20: 347-351