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Doctor insights on: Epidural Blood Patch Complications

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How long does an epidural blood patch last?

How long does an epidural blood patch last?

Great Relief: Epidural blood patch (ebp) as a treatment for post-dural puncture headache in obstetrical anesthesia has a reported success rates in the 70% - 95% range, producing either permanent or partial relief. Rarely, a 2nd ebp will be required and it has an even higher success rate. Once a clot forms in the epidural space, headaches very rarely return. ...Read more

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Dr. James Dukelow
2 doctors shared insights

Epidural (Definition)

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


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How much does epidural blood patch cost in the us?

How much does epidural blood patch cost in the us?

Epidural costs: An epidural blood patch is a procedure that is reimbursed without regard for the time involved. Insurance companies reimburse contracted md's at 4 to 6 units. Medicare , medical, and blue cross pay around $100. Other insurances pay around $200 - $500. If you have no insurance, $350 - $600. ...Read more

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What type(s) of meningitis would be most likely to occur from having a blood patch or epidural?

What type(s) of meningitis would be most likely to occur from having a blood patch or epidural?

Unlikely: I have NEVER encountered any case of any type of meningitis following a "blood patch". If that would occur, would be secondary to skin bacteria, and even less likely E. coli. But why do you ask this question? Maybe there is more behind this. Do you wish to schedule Concierge visit? ...Read more

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Very ill after normal spinal tap and and follow up epidural blood patch. What could it be?

Very ill after normal spinal tap and and follow up epidural blood patch. What could it be?

Postdural puncture: This sounds like you had a postdural puncture headache, which is a headache that improves after lying down. Bed rest, fluids and caffeine usually resolve the problem after several days, but sometimes a blood patch is needed to fix the issue. ...Read more

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I had an epidural blood patch done 1 week ago, i've had a permanent mild headache ever since and nightmares every night. Is this normal?

Spinal headaches: It is not unusual to have persistent headaches after spinal tap and blood patch. To obtain relief, try drinking lots of caffeine-containing fluids, such as coffee, tea, cola, or chocolate. An abdominal binder or even panty hose may help. Tylenol (acetaminophen) is also useful. A second blood patch can be tried if the headaches worsen, or are accompanied by light sensitivity and worse sitting up or standing. ...Read more

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Got epidural blood patch 5 weeks ago. My right side of head gets chills and a numbing feeling? What can this mean?

Got epidural blood patch 5 weeks ago. My right side of head gets chills and a numbing feeling? What can this mean?

Unusual, but...: Dear Brenda, having symptoms this late after a dural puncture is very unusual. I can reassure you that your symptoms most likely have nothing to do with the epidural blood patch procedure itself. The clot that was formed by injecting the blood into the epidural space was washed away after about four days. You should consult a neurologist if the symptoms persist. ...Read more

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Had an epidural blood patch, does spinal fluid recover itself?, What happens with the blood that got injected in my dura? Does it all go bac to normal

Had an epidural blood patch, does spinal fluid recover itself?, What happens with the blood that got injected in my dura? Does it all go bac to normal

Blood patch outcome: The CSF replaces itself about every 8 hours. The blood of the blood patch forms a clot near any hole in the dura, otherwise it is reabsorbed and recycled. ...Read more

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What are some long term complications from a spinal headache? Having neurological problems since. Never given blood patch.

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 more

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