دورية أكاديمية
Post Dural Puncture Headache in Fibromyalgia after Cesarean Section: A Comparative Cohort Study.
| العنوان: | Post Dural Puncture Headache in Fibromyalgia after Cesarean Section: A Comparative Cohort Study. |
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| المؤلفون: | Morsy KM; Assiut University, Faculty of Medicine, Egypt., Osman AM; Assiut University, Faculty of Medicine, Egypt., Shaaban OM; Assiut University, Faculty of Medicine, Egypt., El-Hammady DH; Assiut University, Faculty of Medicine, Egypt. |
| المصدر: | Pain physician [Pain Physician] 2016 Jul; Vol. 19 (6), pp. E871-6. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Society of Interventional Pain Physicians Country of Publication: United States NLM ID: 100954394 Publication Model: Print Cited Medium: Internet ISSN: 2150-1149 (Electronic) Linking ISSN: 15333159 NLM ISO Abbreviation: Pain Physician Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Paducah, Ky. : American Society of Interventional Pain Physicians Original Publication: Paducah, Ky. : Association of Pain Management Anesthesiologists |
| مواضيع طبية MeSH: | Anesthesia, Spinal/*adverse effects , Fibromyalgia/*complications , Post-Dural Puncture Headache/*chemically induced, Adult ; Case-Control Studies ; Cesarean Section/adverse effects ; Cohort Studies ; Female ; Headache ; Humans ; Pregnancy ; Spinal Puncture/adverse effects ; Young Adult |
| مستخلص: | Background: Patients of chronic pain syndromes like fibromyalgia (FMS) when subjected to spinal anesthesia are theoretically more liable to post dural puncture headache (PDPH) as they have enhanced central nervous system sensitization and decreased descending inhibition. Objective: The current study aims to verify the incidence and chronicity of PDPH in FMS patients. Study Design: Case control study. Methods: In a comparative control study, 70 fibromyalgia patients were scheduled for an elective cesarean delivery fibromyalgia group or Group 1. Group 2 included 70 women scheduled for elective cesarean delivery who had no history of chronic pain and is used as a control group. Both groups were compared regarding the incidence of development of PDPH in the first postoperative 48 hours and the persistence of PDPH for 7 days or more. Settings: Women's Health Hospital, Assiut University, antenatal Clinic. Results: The fibromyalgia group reported more PDPH (18 patients, 25.7%) as compared to the control group (10 patients, 14.3%), P < 0.01. PDPH persisted for 7 or more days in 8 patients in the fibromyalgia group (11.4%) while, it persisted in 2.86% of the control patients. PDPH continued for more than 3 months in 2 patients in the fibromyalgia group (2.86%). Limitations: Difficulty in calculating the dose of analgesics as patients with fibromyalgia may use other analgesics due to musculoskeletal pain. Conclusion: Dural puncture increases the incidence of PDPH in fibromyalgia patients in comparison with normal controls without increasing other postoperative side effects. |
| تواريخ الأحداث: | Date Created: 20160726 Date Completed: 20170712 Latest Revision: 20180403 |
| رمز التحديث: | 20221213 |
| PMID: | 27454277 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2150-1149 |
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