Colonna-Romano P, Linton P
Department of Anesthesiology, Medical College of Pennsylvania, USA.
Can J Anaesth. 1995 Dec;42(12):1143-4. doi: 10.1007/BF03015104.
The authors report the successful treatment of post-dural puncture headache, consequent to a cervical dural puncture, with a lumbar extradural blood patch. The increase in intracranial pressure generated by the injection of autologous blood in the extradural space seems to be the likely mechanism for the prompt relief of post-dural puncture headache. We conclude that extradural injection of autologous blood at the same level of the dural puncture may not be necessary.
作者报告了通过腰椎硬膜外血补丁成功治疗因颈椎硬膜穿刺导致的硬膜穿刺后头痛。在硬膜外间隙注射自体血所产生的颅内压升高似乎是硬膜穿刺后头痛迅速缓解的可能机制。我们得出结论，在硬膜穿刺同一水平进行硬膜外自体血注射可能没有必要。
