Doctor insights on:
Epidural Blood Patch Complications
Can dural puncture from spinal anesthetic for csection cause brain damage? Had the spinal headache for 2 weeks no blood patch. Symptoms were severe.
Dural puncture: Dural puncture cannot cause any brain damage unless there is very high CSF (cerebrospinal fluid) pressure inside the skull (increased icp - intracranial pressure), in which case the skull contents can herniate outside the skull through the foramen magnum (through which the spinal cord exits). This would be an emergency and if you are writing this, you dont have it ! ...Read more
The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more
Level?: Most frequent complication is spinal headache which can be treated with epidural blood patch. If the epidural placement is above lumbar level, although very low risk, spinal cord can be penetrated, which can cause neuro deficit. If epidural catheter placed and migrates to spinal space severe hypotension or complete spinal can occur and it can require control of the airway until spinal wears off. ...Read moreSee 2 more doctor answers
Why would blood count drop 5 days after femur surgery revision necessitating a blood transfusion? The patient is being bridged back onto Coumadin (warfarin)
Many possibilities: Many potential reasons. I'll enumerate:blood loss during surgery; phlebotomy or in other words frequent in-hospital blood draws; anemia of chronic disease ie inability of bone marrow to stimulate and churn out normal volume of blood components in response to life stressors as it used to. ...Read more
Depends: Infants usually do not react adversely to mismatched blood immediately. How did the infant get this mismatched cord blood? In some countries where there is no immediate source of blood, there is something called 'walking donor'-which has saved many a life. While I am not concerned, the blood bank can tell you prior to the next transfusion if there are any antibodies produced from such a case. ...Read more
Dural pucture: There is always a risk with a needle injection in the spine of dural puncture especially with a blind or unguided technique, and can happen at any spinal level. Risks are increased in thin or cachetic people especially who are dehydrated, young pregnant women as well and inexperienced operators. Mostly headach is the most common effect but irritation of the spine can occur in rare cases. ...Read more
Your blood that's used for the blood patch go away after your spinal fluid regenerates itself? Is there long time risks? (Clots)...ect?
Csf leak treatment had CT myleogram fibrin glue/blood patch instant relief. Then high pressure headache and diamox (acetazolamide). Csf headache back and painful.
ESI complication: The potential risks associated with epidural steroid injection include spinal headache from a dural puncture, bleeding, infection, allergic reaction, and nerve damage / paralysis. Corticosteroid side effects may cause weight gain, water retention, hot flashes, mood swings or insomnia, and elevated blood sugar levels in people with diabetes. ...Read moreSee 3 more doctor answers
What are some long term complications from a spinal headache? Having neurological problems since. Never given blood patch.
Likely unrelated: The only neurological effect likely from a dural puncture is that of a headache. Rarely, these headaches can last months but usually resolve within days, even without a blood patch. If you are having other neurological symptoms, an evaluation by a neurologist should be sought. ...Read moreSee 1 more doctor answer
No: No but a bad idea for your brain. ...Read more
And: Many patients get immediate relief during the injection. We think this might be by compressing the dural sac. It merely a matter of pressure gradients. Make the pressure greater outside the leak and the leak slow down or stops. As long as your brain is making more CSF than lost, the headache stays away. For technically challenging patient anatomy, sometime fluroscopy is used to guide the procedure. ...Read moreSee 1 more doctor answer
Had transforaminal epidural injection for 2 pinched nerves 2 level injection on 4/9/13-herniation, still have lots of pain in spine, tkrdone 10/12 ?
Stenosis: It sounds like you've had significant spine and leg pain since a tkr in oct 12? And i'm guessing you've had a lumbar mri. If the MRI showed significant stenosis (pinched nerves) which corresponds to your pain symptoms, then your options are to try medications (i.e. Lyrica), or another epidural or two, or decompressive lumbar surgery. ...Read moreSee 3 more doctor answers
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