Evidence map›Paper›PMID 32257448›Full record

ArticleCase reports in anesthesiology2020

Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature.

Hailey J McInerney, Manuel Lee, Tracie Saunders, Joy Schabel, Rishimani S N Adsumelli

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Case reports in anesthesiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Recent update on epidural blood patch.Anesthesia and pain medicine · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Hailey J McInerneyRenaissance School of Medicine at Stony Brook University, Stony Brook, NY 11794, USA.ORCID https://orcid.org/0000-0003-3155-6530
Manuel LeeDepartment of Anesthesia, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY 11794, USA.
Tracie SaundersDepartment of Anesthesia, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY 11794, USA.
Joy SchabelDepartment of Anesthesia, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY 11794, USA.
Rishimani S N AdsumelliDepartment of Anesthesia, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY 11794, USA.ORCID https://orcid.org/0000-0002-5431-7906
Stony Brook School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidural blood patch (EBP), generally considered a low-risk procedure, can potentially lead to significant neurological complications. We report the case of a parturient who underwent an uneventful EBP for postdural puncture headache (PDPH) and subsequently presented with progressively worsening radicular symptoms. Magnetic resonance imaging (MRI) revealed an intrathecal hematoma, and conservative management with steroids led to complete recovery. Our case highlights the possibility of this rare complication following an uneventful procedure and the importance of prompt diagnosis and treatment to prevent serious adverse outcomes. Literature review, EBP alternatives, and strategies to minimize complications following blood patch will be discussed in this report.

Identifiers

PMID32257448
PMCPMC7104125
OpenAlexW3012066193

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.