Postdural puncture headache after caesarean section: are preventive strategies worse than the cure?

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[Postdural puncture headache after caesarean section: are preventive strategies worse than the cure?].

Postdural puncture headache (PDPH) was described immediately after the first spinal anesthesia (SA), when Bier himself suffered from a debilitating headache and attributed it to cerebrospinal fluid leakage through the dural rent. With better understanding of the pathophysiology of PDPH, and use of smaller bore needles for SA, the incidence to PDPH has gone down. Numerous risk factors for PDPH h...

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Impact of postdural puncture headache after diagnostic lumbar puncture

Sir Lumbar puncture (LP) is an essential medical procedure for several clinical conditions. It is an invasive procedure by which physicians can provide sample of cerebrospinal fluid through a needle inserted into the lower lumbar area for diagnostic purposes (meningitis or subarachnoid hemorrhage). Injection of medications into the cerebrospinal fluid "intrathecally", particularly for spinal an...

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Postdural puncture headache

Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be incapacitating, prompt diagnosis and treatment are mandatory. A diagnostic hallmark of PDPH is a p...

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Postdural puncture headache and pregabalin

BACKGROUND Even if carried out under optimal conditions, postdural puncture headache is still a frustrating and unpleasant complication in spinal anesthesia. This syndrome has an estimated incidence from less than 1% to about 5% of patients undergoing spinal anesthesia, even in the highest risk subset, the young, female, and pregnant population. CASE PRESENTATION In our two female cases, head...

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ژورنال

عنوان ژورنال: Brazilian Journal of Anesthesiology (English Edition)

سال: 2015

ISSN: 0104-0014

DOI: 10.1016/j.bjane.2014.04.002