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Case Reports
. 2013 Apr;22(2):153-5.
doi: 10.1016/j.ijoa.2013.01.003. Epub 2013 Mar 7.

Epidural injection of hydroxyethyl starch in the management of postdural puncture headache

O Vassal  1 , M C Baud, F Bolandard, M Bonnin, E Vielle, J E Bazin, D Chassard
Affiliations
Case Reports

Epidural injection of hydroxyethyl starch in the management of postdural puncture headache

O Vassal et al. Int J Obstet Anesth. 2013 Apr.

Abstract

Epidural blood patch is the standard treatment for postdural puncture headache when symptomatic therapy is ineffective. We report the cases of two patients who received an epidural injection of hydroxyethyl starch when an epidural blood patch was contraindicated; one due to Streptococcus agalactiae bacteraemia and one due to acute leukaemia. Relief of headache was achieved in both patients with no adverse effects. The use of an epidural hydroxyethyl starch injection may be a suitable alternative for treatment of postdural puncture headache if epidural blood patch is contraindicated.

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Comment in

  • Epidural injection of hydroxyethyl starch in the management of postdural puncture headache.
    Apiliogullari S, Celik D, Aslanlar E. Apiliogullari S, et al. Int J Obstet Anesth. 2013 Nov;22(4):353. doi: 10.1016/j.ijoa.2013.04.011. Epub 2013 Jul 31. Int J Obstet Anesth. 2013. PMID: 23916532 No abstract available.
  • In reply.
    Chassard D, Vassal O. Chassard D, et al. Int J Obstet Anesth. 2013 Nov;22(4):353-4. doi: 10.1016/j.ijoa.2013.05.005. Epub 2013 Aug 13. Int J Obstet Anesth. 2013. PMID: 23954019 No abstract available.

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