*Post Epidural Headache – How Late Can It Occur? (Medical Paper by Brian V. Reamy, MD) *Postdural puncture headache (PDPH): onset, duration, severity, and associated symptoms. An analysis of 75 consecutive patients with PDPH. Lybecker H, Djernes M, Schmidt JF. *Spinal Headache Prevention – Interesting Information about the Late Dr Bela Hatfalvi’s (Retired Associate Professor or Anesthesiology) technique for preventing

Neurol Med Chir (Tokyo). 1995 Feb;35(2):107-9. Lumbar adhesive arachnoiditis following attempted epidural anesthesia–case report. Haisa T, Todo T, Mitsui I, Kondo T. Department of Neurosurgery, International Medical Center of Japan, Tokyo. A 30-year-old female experienced a sudden sharp pain radiating down to the left leg from the lower back at epidural intubation for anesthesia at childbirth. She continued to complain

1. What Causes An Spinal Headache? A spinal headache is caused by leaking spinal fluid when the dura which is the thin membrane that surrounds the spinal cord is punctured by a spinal needle. The fluid acts as a cushion around the brain and without it, the brain tends to sag and rubs painfully against the bony skull. This brain

An epidural injection is injected into the epidural space of the spine to provide temporary or long term relief from pain or inflammation. The epidural space is located outside the dural membrane. In an epidural injection, anesthetics steroids and anti inflammatory medications are administered. Pain and swelling in and surrounding the spinal nerve roots and damaged nerves are helped by

An epidural blood patch is a surgical procedure that provides immediate relief to the headache caused by leaking spinal fluid. Approximately 15-20 mls of blood is taken from a vein in the patient’s arm and subsequently injected into the epidural space in the spine at the site of the spinal fluid leak. The blood clots and seals the hole in

Pros Very effective pain relief during childbirth, cesareans and various operations. Provides excellent pain relief immediately after cesarean section. Effective form of pain relief for forceps delivery – particularly for mid-cavity/high forceps procedures such as Keilland’s rotation for turning of a baby in posterior presentation. Allows mother undergoing cesarean section to stay awake during the procedure. Enables mother to rest