Benha University

Hany sayed ahmed Bauiomy

Asst. Professor

Faculty of Medicine Anaesthesia

Pregabalin as Alternative to Epidural Blood Patch in Treatment of Post dural Puncture Headache: A Randomized Controlled Clinical Trial

Benha medical journal • 2024
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Publication Information
Authors Nahed Fouad Abo-Elmaety; Neveen Kohaf; Hany Bauiomy*; Ahmed Abosakaya
Keywords Not Available
Journal Benha medical journal
Publisher Benha medical journal
Volume 41
Issue 5
Pages 323-336
publication.type Local
Paper Link Not Available
Supplementary Materials Not Available
Abstract
Background and Aims: Post dural puncture headache (PDPH) commonly arises following a lumbar puncture. It is typically managed through conservative measures or an epidural blood patch (EBP), but each has limitations. This trial aimed to compare the efficacy and safety of pregabalin versus EBP in the management of PDPH.
Methods: This randomized controlled trial was conducted on 75 cases with confirmed diagnosis of PDPH. Patients were equally randomized into three groups: Group A (pregabalin group) received oral pregabalin treatment administered at 150 mg daily, with 75 mg given every 12 hours. Group B (EBP group) received EBP and Group C (control group) received conservative treatment.

Results: Complete relief of headache was experienced by 13 (52%) patients in group A, 18 (72%) patients in group B, and 5 (20%) patients in group C, with significant distinctions observed among the examined groups (P
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