Management of Post Dural Puncture Headache During Spinal Cord Stimulation Trials: A Review of Current Literature.

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY Current Pain and Headache Reports Pub Date : 2024-11-01 Epub Date: 2024-06-25 DOI:10.1007/s11916-024-01289-5

Ronnie Stotts, Rishabh Jain, Amit Aggarwal DO, Rana Al-Jumah

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引用次数: 0

Abstract

Purpose of review: The purpose of this review is to evaluate, discuss and explain the current literature regarding management of post dural puncture headaches (PDPH) during spinal cord stimulation (SCS) trials.

Recent findings: Although an epidural blood patch (EBP) remains the gold standard in treatment of PDPH, current literature describes other modalities including various peripheral nerve blocks and pharmacological treatments to reduce PDPH symptoms. PDPH management in SCS centers around conservative treatment and EBP. It has been shown that some practitioners choose prophylactic measures and/or an EBP at the time of the lead placement. Recent literature regarding obstetric anesthesia related PDPH management has included newer potential modalities for addressing symptom improvement that can also be applied to PDPH from SCS trial dural punctures. Due to limited data overall, further studies are needed to effectively provide a guideline on optimal treatment protocols for PDPH after dural puncture in SCS trials.

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脊髓刺激试验期间硬膜穿刺后头痛的处理：当前文献综述。

综述目的：本综述旨在评估、讨论和解释有关脊髓刺激（SCS）试验期间硬膜穿刺后头痛（PDPH）治疗的现有文献：尽管硬膜外血补片（EBP）仍是治疗硬膜外穿刺后头痛的金标准，但目前的文献介绍了其他方式，包括各种外周神经阻滞和药物治疗，以减轻硬膜外穿刺后头痛症状。SCS 中的 PDPH 治疗以保守治疗和 EBP 为中心。事实表明，一些医生会在置入导联时选择预防措施和/或 EBP。最近有关产科麻醉相关 PDPH 管理的文献包括了较新的潜在症状改善模式，这些模式也可应用于 SCS 试验硬膜穿刺引起的 PDPH。由于总体数据有限，还需要进一步研究，才能有效提供 SCS 试验硬膜穿刺后 PDPH 的最佳治疗方案指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Pain and Headache Reports CLINICAL NEUROLOGY-

CiteScore

6.10

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.