Any news on the postdural puncture headache front?

Feyce Mabel Peralta*, Sarah Devroe

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Unintentional dural puncture followed by postdural puncture headache is a well-known complication following neuraxial labor analgesia. Risk factors for the development of postdural puncture headache may be related to the patient's history and characteristics, the neuraxial technique, and obstetrical events. The diagnosis of postdural puncture headache is usually made depending on the clinical presentation (orthostatic headache after a neuraxial procedure). Occasionally, neuroimaging and neurological consultation are warranted. Complications following postdural puncture headache may include transient or permanent hypoacusis, cranial nerve palsies, subdural hematoma, and chronic headache. Evidence is limited regarding the safety and effectiveness of different interventions aimed to prevent or treat postdural puncture headache.

Original languageEnglish (US)
Pages (from-to)35-47
Number of pages13
JournalBest Practice and Research: Clinical Anaesthesiology
Volume31
Issue number1
DOIs
StatePublished - Mar 1 2017

Keywords

  • epidural blood patch
  • positional headache
  • postdural puncture headache
  • subdural hematoma

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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