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 sy...

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Bibliographic Details
Published in:Journal of pediatric surgery 2012-10, Vol.47 (10), p.e55-e57
Main Authors: Kara, Inci, Ciftci, Ilhan, Apiliogullari, Seza, Arun, Oguzhan, Duman, Ates, Celik, Jale Bengi
Format: Article
Language:English
Subjects:
Adverse Effects
Blood Patch
Child
Complications
Epidural
Hernia
Hernia, Inguinal - surgery
Humans
Male
Pediatrics
Post-Dural Puncture Headache - therapy
Postoperative Complications - therapy
Sodium Chloride - administration & dosage
Spinal Anesthesia
Surgery
Transdermal Patch
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Summary: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.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2012.07.055