Postdural Puncture Headache
Postdural puncture headache (PDPH) has been a problem for patients, following dural puncture, since August Bier reported the first case in 1898. His paper discussed the pathophysiology of low-pressure headache resulting from leakage of cerebrospinal fluid (CSF) from the subarachnoid to the epidural...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2010/102967 |
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| _version_ | 1832552256318210048 |
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| author | Ahmed Ghaleb |
| author_facet | Ahmed Ghaleb |
| author_sort | Ahmed Ghaleb |
| collection | DOAJ |
| description | Postdural puncture headache (PDPH) has been a problem for patients, following dural puncture, since August Bier reported the first case in 1898. His paper discussed the pathophysiology of low-pressure headache resulting from leakage of cerebrospinal fluid (CSF) from the subarachnoid to the epidural space. Clinical and laboratory research over the last 30 years has shown that use of small-gauge needles, particularly of the pencil-point design, is associated with a lower risk of PDPH than traditional cutting point needle tips (Quincke-point needle).
A careful history can rule out other causes of headache. A postural component of headache is the sine qua non of PDPH. In high-risk patients , for example, age < 50 years, postpartum, large-gauge needle puncture, epidural blood patch should be performed within 24–48 h of dural puncture. The optimum volume of blood has been shown to be 12–20 mL for adult patients. Complications of AEBP are rare. |
| format | Article |
| id | doaj-art-c73fc488dfdd4885836867662a58edf1 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-c73fc488dfdd4885836867662a58edf12025-02-03T05:59:12ZengWileyAnesthesiology Research and Practice1687-69621687-69702010-01-01201010.1155/2010/102967102967Postdural Puncture HeadacheAhmed Ghaleb0Department of Anesthesiology, University of Arkansas for Medical Sciences, 4301 West Markham, Slot 515, Little Rock, AR 72205, USAPostdural puncture headache (PDPH) has been a problem for patients, following dural puncture, since August Bier reported the first case in 1898. His paper discussed the pathophysiology of low-pressure headache resulting from leakage of cerebrospinal fluid (CSF) from the subarachnoid to the epidural space. Clinical and laboratory research over the last 30 years has shown that use of small-gauge needles, particularly of the pencil-point design, is associated with a lower risk of PDPH than traditional cutting point needle tips (Quincke-point needle). A careful history can rule out other causes of headache. A postural component of headache is the sine qua non of PDPH. In high-risk patients , for example, age < 50 years, postpartum, large-gauge needle puncture, epidural blood patch should be performed within 24–48 h of dural puncture. The optimum volume of blood has been shown to be 12–20 mL for adult patients. Complications of AEBP are rare.http://dx.doi.org/10.1155/2010/102967 |
| spellingShingle | Ahmed Ghaleb Postdural Puncture Headache Anesthesiology Research and Practice |
| title | Postdural Puncture Headache |
| title_full | Postdural Puncture Headache |
| title_fullStr | Postdural Puncture Headache |
| title_full_unstemmed | Postdural Puncture Headache |
| title_short | Postdural Puncture Headache |
| title_sort | postdural puncture headache |
| url | http://dx.doi.org/10.1155/2010/102967 |
| work_keys_str_mv | AT ahmedghaleb postduralpunctureheadache |