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Papers of the Week

2020 Mar

Clin J Pain



Cosyntropin for the Treatment of Refractory Postdural Puncture Headache in Pediatric Patients: A Retrospective Review.


Zapapas MK, Gralla J, Tong S, Eisdorfer S
Clin J Pain. 2020 Mar; 36(3):213-218.
PMID: 31789828.


Postdural puncture headache is a challenging complication of diagnostic, therapeutic, and unintentional lumbar puncture. Literature evidence supports cosyntropin as a viable noninvasive therapy for adults who have failed conservative management, but pediatric data is limited. The purpose of this retrospective chart review is to describe the use of intravenous cosyntropin for refractory pediatric postdural puncture headache at a single free-standing tertiary care pediatric hospital.