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- W2015129005 abstract "We read with great interest the article by Pratt et al. 1 Pratt S. Kaczka D.W. Hess P.E. Observational study of changes in epidural pressure and elastance during epidural blood patch in obstetric patients. Int J Obstet Anesth. 2014; 23: 144-150 Abstract Full Text Full Text PDF PubMed Scopus (13) Google Scholar and would like to add some insights to the discussion. Magnetic resonance imaging studies performed before and after lumbar puncture have previously shown that reductions in intracranial cerebrospinal fluid (CSF) volume are frequently related to post-dural puncture headache (PDPH). 2 Grant R. Condon B. Hart I. Teasdale G.M. Changes in intracranial CSF volume after lumbar puncture and their relationship to post-LP headache. J Neurol Neurosurg Psychiatry. 1991; 54: 440-442 Crossref PubMed Scopus (148) Google Scholar It is likely that following an epidural blood patch (EBP) two mechanisms are responsible for the resolution of headache: the first occurs immediately and results from the increase in epidural pressure; the second is related to correction of CSF hypotension and maintenance of normal intracranial pressure (ICP) by preventing further CSF leak. 3 Kroin J.S. Nagalla S.K. Buvanendran A. McCarthy R.J. Tuman K.J. Ivankovich A.D. The mechanisms of intracranial pressure modulation by epidural blood and other injectates in a postdural puncture rat model. Anesth Analg. 2002; 95: 423-429 PubMed Google Scholar" @default.
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- W2015129005 date "2014-08-01" @default.
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- W2015129005 title "Cerebrospinal fluid pressure after epidural blood patching" @default.
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- W2015129005 doi "https://doi.org/10.1016/j.ijoa.2014.04.002" @default.
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