Spinal anesthesia is a frequently performed procedure in medical emergencies and anesthesia. Tension headache after lumbar puncture is a common occurrence (32%) and carries a considerable morbidity, with symptoms lasting for several days, at times severe enough to immobilize. The aim of this study is to assess the effect of pre and post nursing intervention on the occurrence of tension headache...

BACKGROUND Lumbar epidural blood patch (EBP) is a common treatment of post-dural puncture headache, but its effectiveness and mode of action remain a matter of debate. The aim of this study was to assess both the effectiveness and the predictive factors of failure of EBP on severe post-dural puncture headache. METHODS This prospective observational study includes all patients treated in the a...

patient was a 33-year-old woman underwent her first time cesarean section combined with spinal epidural anesthesia 5 days before and discharged the day after with good condition. she got severe headache with pain score about 8-9, 2 days after discharge from hospital. her headache was severe, bilateral, pulsatile and almost likely sudden onset accompanied with nausea that mildly progressed after...

We describe an obstetric patient who presented for removal of a retained placenta. After insertion of the spinal anaesthetic, she developed a severe headache, and a subarachnoid haemorrhage was diagnosed. We discuss the differential diagnosis of the headache, the occurrence of intracranial haemorrhages after dural puncture and the future management of this patient.

We report the case of a previously healthy 51-yr-old male who underwent an uneventful total hip replacement under spinal anaesthesia. His immediate postoperative course was complicated by the development of a severe frontal headache. Initial conservative treatment included oral analgesics and an epidural blood patch. The headache persisted and was followed by progressive vision loss and a right...

myelography is a diagnostic procedure to indicate spinal defects. after the inception of new means of spinal cord imaging, use of myelography has been limited. since there are contraindications for other modalities in some patients, we have to use myelography. the most common complication of myelography is post myelography headache (pmh). many methods have been proposed to alleviate the pain. i...

Chronic headaches are difficult problems to manage effectively. A select group of six patients with headache symptoms (throbbing headaches, located in the frontal or occipital areas; aggravated by ambulation and relieved by recumbency) resembling post-dural puncture headache received epidural blood patches using autologous blood for their chronic headaches. Five of the six patients obtained eff...

Background: Post dural puncture headache (PDPH) is a known and potentially debilitating complication of neuraxial anesthesia that can impede patient recovery. The conventional treatment includes hydration symptomatic like simple analgesics. Those who have unremitting symptoms following conservative measures are offered an epidural blood patch (EBP). However, EBP, invasive procedure, associated ...

In the 1950's, the generally accepted theory for the development of post dural puncture headache (PDPH) was leakage of cerebrospinal fluid via the hole in the dura which led to the introduction of smaller sized needles for dural puncture. This has lowered but not eliminated the incidence of PDPH. The literature has virtually as many different statistics on the incidence of PDPH as there are aut...