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Post-dural-puncture headache (PDPH) is a complication of puncture of the dura mater (one of the membranes around the brain and spinal cord). [3] The headache is severe and described as "searing and spreading like hot metal", involving the back and front of the head and spreading to the neck and shoulders, sometimes involving neck stiffness .
Nausea and vomiting can be extremely distressing for patients, and so is one of their major concerns. [10] Vomiting has been associated with major complications, such as pulmonary aspiration of gastric content, and might endanger surgical outcomes after certain procedures, for example after maxillofacial surgery with wired jaws.
The test involves removing 30–50 ml of CSF through a lumbar puncture, after which motor and cognitive function is clinically reassessed. [1] The name "Fisher test" is after C. Miller Fisher, a Canadian neurologist working in Boston, Massachusetts, who described the test. [2]
An epidural blood patch (EBP) is a surgical procedure that uses autologous blood, meaning the patient's own blood, in order to close one or many holes in the dura mater of the spinal cord, which occurred as a complication of a lumbar puncture or epidural placement. [1] [2] The punctured dura causes cerebrospinal fluid leak (CSF leak). [1]
To alleviate the symptoms, a lumbar puncture or external lumbar or ventricular drainage could be used. To prevent chronic overdrainage, a valve exchange is recommended. [67] Shunt obstruction is the most common cause of shunt failure. [68] The shunt can be obstructed at the catheter or the valve itself.
Headache, vision problems, ringing in the ears with the heartbeat [1] [2] Complications: Vision loss [2] Usual onset: 20–50 years old [2] Risk factors: Hypervitaminosis A, obesity, tetracyclines [1] [2] Diagnostic method: Based on symptoms, lumbar puncture, brain imaging [1] [2] Differential diagnosis: Brain tumor, arachnoiditis, meningitis ...
Lumbar total disc replacement was originally designed to be an alternative to lumbar arthrodesis (fusion). The procedure was met with great excitement and heightened expectations both in the United States and Europe. In late 2004, the first lumbar total disc replacement received approval from the U.S. Food and Drug Administration. More ...
Patients with lumbar–peritoneal shunts are left with two scars; a vertical scar down part of the lumbar of the spine, and a horizontal scar across the upper abdomen. A lumbar–peritoneal shunt is expected to remain in situ for the lifespan of the patient unless revisions or relocation of the shunt is required. In some cases the shunt has ...