Post spinal puncture headache: diagnosis, risk factors and treatment

Spinal anesthesia is one of the most used anesthetic techniques, having been in existence for over 100 years, and time it has improved by development a new needle design, gauge, tip shapes, as well more precise indications contraindications. However, even so, there are still possible complications due to this procedure, especially headache after puncture dura mater, and, because that, procedure carries with great increase taboos prejudices. Although clear that reducing size dural perforation reduces CSF loss, thus making incidence less likely, many other issues be clarified regarding pathophysiology, treatment prevention post-dural headache. How does size, orientation influence leakage through perforation? Can pharmacological methods reduce symptoms headache? epidural blood patch help post-spinal act prophylactically? Does saline solution rate loss? Thus, article aims answer these questions according recent studies make an objective review post spinal approach diagnosis, clinical scenario, risk factors, therapeutic options.