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Genevieve D'souza, MD

  • Genevieve D'souza
  • “I chose a field of medicine where I get to help children.”

Children are innocent angels. Seeing children in pain and suffering always saddened me, so I chose a field of medicine where I can help them.

Offering pain management in children is a specialized field and very few practitioners outside of the hospital offer this care. My patients often struggle for a long time before reaching me and it is rewarding to be able to help them and ease their suffering.

I offer a multimodal method to pain management for treatment of pain in children. I offer all my patients compassionate, holistic care that is individualized for them. I always listen to each child and family, providing my best care possible.

Specialties

Anesthesia

Work and Education

Professional Education

Terna Medical College, Navi, Mumbai, 1999

Internship

Morehouse School of Medicine, Atlanta, GA, 2004

Residency

Thomas Jefferson Univ Hospital, Philadelphia, PA, 2007

Fellowship

AI Dupont Hospital for Children, Wilmington, DE, 2008

Board Certifications

Anesthesia, American Board of Anesthesiology

Pain Medicine, American Board of Pain Medicine

Pediatric Anesthesia, American Board of Anesthesiology

Conditions Treated

Pain Management

All Publications

Management of a Ventral Cerebrospinal Fluid Leak With a Lumbar Transforaminal Epidural Blood Patch in a Child With Persistent Postdural Puncture Headache: A Case Report. Regional anesthesia and pain medicine D'souza, G., Seidel, F. G., Krane, E. J. 2017; 42 (2): 263-266

Abstract

Postdural puncture headache (PDPH) is an uncommon sequel of lumbar puncture in children. When conservative treatment with bed rest, hydration, and caffeine are ineffective, epidural blood patches are recommended and are generally effective. The purpose of this report was to highlight that when lumbar epidural blood patches fail to eliminate PDPH, diagnostic evaluation should be performed and alternative treatment sought.An unusual case is described of an 11-year-old boy with PDPH, which was successfully managed with a ventral (anterior) epidural blood patch and epidural saline infusion after headache and other symptoms failed to resolve after conservative treatment and conventionally performed blood patches.Ineffectiveness of conservative measures and epidural blood patches performed posteriorly to resolve PDPH should lead the physician both to question the diagnosis of PDPH by pursuing radiographic confirmation of a cerebral spinal fluid leak and, furthermore, identification of its location to best direct further therapy.

View details for DOI 10.1097/AAP.0000000000000562

View details for PubMedID 28178090