epidural blood patch

WordNet

1. provide with a patch; also used metaphorically; "The field was patched with snow"
2. mend by putting a patch on; "patch a hole" (同)patch up
3. a piece of cloth used as decoration or to mend or cover a hole
4. a short set of commands to correct a bug in a computer program
5. to join or unite the pieces of; "patch the skirt" (同)piece
6. smear with blood, as in a hunting initiation rite, where the face of a person is smeared with the blood of the kill
7. temperament or disposition; "a person of hot blood"
8. people viewed as members of a group; "we need more young blood in this organization"
9. the fluid (red in vertebrates) that is pumped through the body by the heart and contains plasma, blood cells, and platelets; "blood carries oxygen and nutrients to the tissues and carries away waste products"; "the ancients believed that blood was the sea
10. exactly suited to the occasion; "a pat reply"
11. the sound made by a gentle blow (同)rap, tap
12. completely or perfectly; "he has the lesson pat"; "had the system down pat"
13. mended usually clumsily by covering a hole with a patch; "patched jeans"
14. having spots or patches (small areas of contrasting color or texture); "a field patched with ice and snow"; "the wall had a spotty speckled effect"; "a black-and-white spotted cow" (同)spotty, spotted

PrepTutorEJDIC

1. (補修・補強のための)『つぎ当て』;当て布;当て板,当て金;(アップリケで縫いつけた)布切れ / (傷口などを覆う)『傷当て』 / (色などが周囲と区別できる)(…の)まだら,班点;断片,破片《+『of』+『名』》 / 小さな地面(畑) / (補修・補強のために)…‘に'『つぎ当てる』;(装飾のために)…‘に'当て布をする / …‘を'つぎ合わせて作る
2. 『血』,『血』液 / 流血(bloodshed);殺人 / 気質,気性,血気,血潮 / 『血統』,血縁(kinship);生まれ,家柄;《the~》王家の血統 / (人種・出身国の)系 / 〈人〉‘に'初めての経験をさせる / 〈猟犬〉‘に'初めて獲物を血を味わわせる
3. (愛情・賞賛などを表して手のひらで)…‘を'『軽くたたく』,ポンとたたく / (へらなどで)(…の形に)…‘を'軽くたたいて整える《+『名』+『into』+『名』》 / 『軽くたたくこと』 / その音 / (バターなどの)小さいかたまり《+『of』+『名』》
4. きっちりした,ぴってりの / きっちりに,ぴったりと
5. patent / patented
6. 純血の,純種の / 《複合語を作って》「…の血(性質)を持った」の意を表す

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/03/06 23:50:22」(JST)

wiki en

[Wiki en表示]

Epidural blood patch.

An epidural blood patch is a surgical procedure that uses autologous blood in order to close one or many holes in the dura mater of the spinal cord, usually as a result of a previous lumbar puncture. The procedure can be used to relieve post dural puncture headaches caused by lumbar puncture (spinal tap). A small amount of the patient's blood is injected into the epidural space near the site of the original puncture; the resulting blood clot then "patches" the meningeal leak. The procedure carries the typical risks of any epidural puncture. However, even though it is often effective, further intervention is sometimes necessary.

An epidural needle is inserted into the epidural space at the site of the cerebrospinal fluid leak and blood is injected. The clotting factors of the blood close the hole in the dura.

It is also postulated that the relief of the headache after an epidural blood patch is due to more of a compression effect than sealing the leak. Because the fluid column in the lumbar spine is continuous with the fluid around the brain, the blood exerts a "squeeze" and relieves the low pressure state in the head.

References

UpToDate Contents

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• 1. 腰椎穿刺後頭痛 post lumbar puncture headache
• 2. Spontaneous intracranial hypotension: Treatment and prognosis
• 3. 産婦人科における硬膜外・脊椎麻酔の副作用 adverse effects of neuraxial analgesia and anesthesia for obstetrics
• 4. 妊娠中および出産後の女性における頭痛 headache in pregnant and postpartum women
• 5. 癌疼痛のマネージメント：介入的治療 cancer pain management interventional therapies

English Journal

• Rapid resolution of subdural hematoma after targeted epidural blood patch treatment in patients with spontaneous intracranial hypotension.

• Wang J1, Zhang D1, Gong X2, Ding M3.
• Chinese medical journal.Chin Med J (Engl).2014 Jun;127(11):2063-6.
• BACKGROUND: Subdural hematoma (SDH) is a common complication of spontaneous intracranial hypotension (SIH). To date, the management of SDH caused by SIH remains controversial. In this paper, we reviewed the clinical course of SDH in patients with SIH, and discuss the underlying mechanism and attribu
• PMID 24890153

• Low-pressure/spinal fluid leak headache.

• Spears RC.
• Current pain and headache reports.Curr Pain Headache Rep.2014 Jun;18(6):425. doi: 10.1007/s11916-014-0425-4.
• Low cerebrospinal fluid (CSF) pressure results in neurologic deficits, of which the most common manifestation is headache. Typically, the headache is postural - and specifically, orthostatic - in presentation. There are three hypotheses to explain the occurrence of headache associated with low CSF f
• PMID 24760494

Japanese Journal

• 3D-CT Epidurography Can Detect Cerebrospinal-Fluid Leakage in a Patient with Spontaneous Intracranial Hypotension: A Case Report

• , , , ,
• NMC Case Report Journal advpub(0), 2015
• … Here, we describe a patient with spontaneous intracranial hypotension in whom three-dimensional computed tomography (3D-CT) performed just after an epidural blood patch (EBP) containing contrast medium detected leakage point. … The contrast medium injected into the epidural space at the L3/4 level migrated into the intradural space at the lower cervical spine level. …
• NAID 130005056831

• 脳脊髄液減少症と心身症のかかわり(精神科疾患とのcomorbidityが問題となる身体科疾患,2013年,第54回日本心身医学会総会ならびに学術講演会(横浜))

• 篠永 正道
• 心身医学 54(11), 1026-1033, 2014-11-01
• 脳脊髄液減少症と心身症には3つのかかわりがある.第一に心身症と診断されている脳脊髄液減少症患者が少なくないこと,第二に脳脊髄液減少症の症状に心身症的な症状が含まれていること,第三に脳脊髄液減少症の治療には心身症的な治療が必要であること,である.脳脊髄液減少症は主として脳脊髄液が漏出して脳脊髄液が減少することにより頭痛,めまい,視覚障害,記憶力低下,倦怠など多彩な症状が持続する疾患である.原因が不明 …
• NAID 110009865705

Related Links

• What Is A Blood Patch? - Epidural Information

Sponsored Links What Is A Blood Patch? An epidural blood patch is a surgical procedure that provides immediate relief to the headache caused by leaking spinal fluid. Approximately 15-20 mls of blood is taken from a vein in the ...

• Epidural Blood Patch, Spinal Headache, Post Dural Puncture

An epidural blood patch is a treatment for a post dural puncture headache, also known as a spinal headache. The blood patch helps seal over the leaking spinal fluid area.

Related Pictures

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★リンクテーブル★

リンク元	「硬膜外血液パッチ」「硬膜外自家血パッチ」「自家血硬膜外注入法」
関連記事	「epidural」「patch」「blood」

「硬膜外血液パッチ」

　　[★]

英

epidural blood patch

関

硬膜外自家血パッチ、自家血硬膜外注入法

「硬膜外自家血パッチ」

　　[★]

英

epidural blood patch

関

硬膜外血液パッチ、自家血硬膜外注入法

「自家血硬膜外注入法」

　　[★]

英

epidural blood patch

関

硬膜外血液パッチ、硬膜外自家血パッチ

「epidural」

　　[★]

• 硬膜外の

関

extradural、extradurally

　

「patch」

　　[★]

• パッチ

　 　 　 　 　 　

「blood」

　　[★] 血液