RESUMEN
Epidural blood patch is an effective management for treatment of severe post-dural puncture headache. Here we describe a case of a patient with hip fracture, who was complained regarded as having suspicious post-dural puncture headache after epidural anesthesia, but it failed to be treated with 4 times of epidural blood patch, and later was diagnosed with multiple metastatic brain tumor.
Asunto(s)
Humanos , Anestesia Epidural , Parche de Sangre Epidural , Neoplasias Encefálicas , Encéfalo , Cefalea , Cadera , Cefalea Pospunción de la DuramadreRESUMEN
In the year period of 1998-2002, in the Hospital N07 in Hai Duong province and the Hospital Buu Dien in HaNoi. 117 patients (99 females and 18 males, aged 17-69) who were clinically diagnosed as thyroid nucleous, goiter were undergone a fine needle puncture biopsy. Results showed a consistency between clinical diagnosis and ultrasound in 92.9% of solid form, 93.1% liquid form and in mixt form, the consistency rate was lower 55.5%. Between clinical diagnosis and ultrasound, there was a consistency in the determination of 76% of the number of goiters, and the consistency rate was higher between these 2 diagnostic methods, 81/85 in solid form and 25/27 in liquid form, while in mixt form the technique of fine needle aspiration puncture notified more cases than ultrasound 11 versus 5