Regional anesthesia and pain medicine
-
Reg Anesth Pain Med · Jan 2015
Observational StudyFibromyalgia Is Associated With Coronary Heart Disease: A Population-Based Cohort Study.
We examined whether patients with a diagnosis of fibromyalgia have an increased risk of coronary heart disease (CHD), compared with age- and sex-matched control patients. We hypothesized that patients diagnosed with fibromyalgia are at increased risk of adverse coronary events. ⋯ An association between fibromyalgia and CHD appears to exist.
-
Reg Anesth Pain Med · Jan 2015
Retrospective Study of Epidural Blood Patch Use for Spontaneous Intracranial Hypotension.
Spontaneous intracranial hypotension (SIH) is characterized by a severe and disabling headache that is usually orthostatic in nature. Cisternography is a useful diagnostic test for evaluating the presence and location of cerebrospinal fluid (CSF) leakage, and a targeted epidural blood patch (EBP) based on the cisternography findings is a very effective treatment modality for SIH. However, the effects of EBPs are not predictable, making repeat EBPs essential in some cases. The aim of the present study was to find the relationship between the EBP response and cisternographic findings, hypothesizing that the number of required EBPs would increase with an increased number of CSF leakage levels as determined by radionuclide cisternography. ⋯ Our study suggests that the response to the EBP is related to the severity of symptoms but not to the number and locations of cisternographic CSF leakages.