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- W4230349021 abstract "Regional anesthesia (e.g., spinal, epidural) offers adolescents a choice in the decisions concerning their health care when confronted with certain elective or emergency surgeries, particularly orthopedic procedures on the lower extremities. The most frequent complication of either spinal or epidural anesthesia, as well as diagnostic/therapeutic lumbar puncture, is the occurrence of headache after the procedure (postdural puncture headache [PDPH]). Such headaches are attributed to leakage of cerebrospinal fluid (CSF) after dural penetration [ 1 Liu S.S McDonald S.B Current issues in spinal anesthesia. Anesthesiology. 2001; 94: 888-906 Crossref PubMed Scopus (217) Google Scholar , 2 Atabaki S Ochsenschlager D Post-lumbar puncture headache and backache in pediatrics A case series and demonstration of magnetic resonance imaging findings. Arch Pediatr Adolesc Med. 1999; 15: 770-773 Crossref Scopus (19) Google Scholar ], although the exact mechanism is still undetermined [ 3 Raskin N.H Lumbar puncture headache A review. Headache. 1990; 30: 197-200 Crossref PubMed Scopus (143) Google Scholar , 4 Tobias J.D Postdural puncture headache in children. Etiology and treatment. Clin Pediatr (Phila). 1994; 33: 110-113 Crossref PubMed Scopus (21) Google Scholar ]. We report on a 16-year-old patient who had minor headaches before, and increasing headache immediately after, elective knee surgery performed under spinal anesthesia, with severe recurrence a few weeks later. In her case, there were multiple causes for the headaches, ranging from normal stress preoperatively to PDPH after spinal anesthesia, and ultimately the finding of a previously unrecognized brain tumor after epidural blood patch. We present a review and discussion of the headaches experienced by this adolescent and the diagnostic complexities that surrounded her final diagnosis." @default.
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- W4230349021 date "2004-06-01" @default.
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- W4230349021 title "Perioperative headaches in an adolescent: a most complex situation" @default.
- W4230349021 doi "https://doi.org/10.1016/s1054-139x(03)00288-x" @default.
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