Abstract | PURPOSE: CLINICAL FEATURES: A 39-yr-old pregnant woman consulted the pain clinic for the assessment of a debilitating postural headache which was non-responsive to conventional analgesic treatment. Clinical findings and cranial magnetic resonance imaging indicated the diagnosis of spontaneous intracranial hypotension syndrome. Treatment with an epidural blood patch was not undertaken for several reasons. A lumbar epidural injection with dextran-40 and paramethasone led to a significant improvement in the symptoms and allowed a progressive discontinuation of adjuvant treatment with oral steroids, with complete resolution of symptoms. CONCLUSION:
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Authors | Ivan Bel, Luis-Alfonso Moreno, Carmen Gomar |
Journal | Canadian journal of anaesthesia = Journal canadien d'anesthesie
(Can J Anaesth)
Vol. 53
Issue 6
Pg. 591-4
(Jun 2006)
ISSN: 0832-610X [Print] United States |
PMID | 16738294
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Anti-Inflammatory Agents, Non-Steroidal
- Dextrans
- Plasma Substitutes
- Paramethasone
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Topics |
- Adult
- Analgesia, Epidural
- Anti-Inflammatory Agents, Non-Steroidal
(administration & dosage, therapeutic use)
- Dextrans
(administration & dosage, therapeutic use)
- Female
- Headache
(drug therapy, etiology, pathology)
- Humans
- Intracranial Hypotension
(complications, drug therapy, pathology)
- Magnetic Resonance Imaging
- Paramethasone
(administration & dosage, therapeutic use)
- Plasma Substitutes
(administration & dosage, therapeutic use)
- Pregnancy
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