2016
DOI: 10.1111/papr.12541
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Successful Treatment of Postdural Puncture Headache Using Epidural Fibrin Glue Patch after Persistent Failure of Epidural Blood Patches

Abstract: Percutaneous injection of fibrin glue to seal the dural defect demonstrated promising outcomes for both immediate and long-lasting resolution of persistent PDPH in our patient. In the event of epidural blood patch failure, epidural fibrin glue patch may be a reasonable alternative for the treatment of persistent PDPH.

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Cited by 23 publications
(18 citation statements)
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“…Although a blood patch could be one plausible option to prevent CSF leakage in individual cases, it is risky due to the difficulty of accurate positioning to the target area [26][27][28].…”
Section: Discussionmentioning
confidence: 99%
“…Although a blood patch could be one plausible option to prevent CSF leakage in individual cases, it is risky due to the difficulty of accurate positioning to the target area [26][27][28].…”
Section: Discussionmentioning
confidence: 99%
“…The standard management strategy for SDH generally involves decompression surgery or conservative care with close observation depending on the age of the hematoma, degree of the midline shift, clot thickness, and neurological status [ 4 , 18 ]. However, a different treatment strategy is necessary for the sealing of CSF leaks in patients with SIH-induced SDH [ 19 , 20 , 21 , 22 ]. Therefore, for optimal treatment in some patients with SDH, recognition of the possibility of SIH as a cause of SDH is important [ 8 ].…”
Section: Discussionmentioning
confidence: 99%
“…Complications such as acute and chronic low back pain, radiculopathy, infection, arachnoiditis, spinal subdural hematoma, spinal epiarachnoid hematoma, intrathecal hemorrhage are less frequent [52]. In the most severe cases, epidural injection of fibrin glue or surgical repair of the dura is used [53]. Greater occipital nerve blockage is a very effective method that is technically easy to perform, it is minimally invasive, and with a low rate of neurological complications [54].…”
Section: Therapymentioning
confidence: 99%