The most likely cause for PDPH is leakage of cerebrospinal fluid from a hole in the dura, the remarkable feature being that such a trivial injury can cause such severe symptoms. Conservative management with bed rest, analgesics and fluids is helpful in those with mild symptoms. Relief however, is not dramatic and sealing that hole in the dura is the only way to achieve rapid relief Gromley (196...

background: lumbar puncture test is one of the most stressful diagnostic procedures in pediatric ward that its prescription put mothers under extreme pressure. there are limited interventions in this regard. aim: determining the impact of supportive educational program on the anxiety of mothers whose children are undergoing lumbar puncture (lp). method: the present study is a randomized control...

The spectrum of presentation of intracranial hypotension is clinically perplexing. We report a case of 31-year-old post-partum woman who underwent an uneventful caesarean section under spinal anesthesia. From the second day of surgery she developed postural headache, the headache lost its postural character after few days. She then developed seizures and ataxic hemiparesis. Magnetic resonance i...

Discitis and vertebral collapse are rare but serious complications of lumbar puncture. Clinical profile, management and course of post lumbar puncture discitis in five patients is presented. Such a complication should be kept in mind whenever any invasive procedure is carried out on the spine.

We describe a patient with an intracerebral haemorrhage following an accidental dural puncture during an attempted epidural for pain relief in labour. Anaesthetists need to include intracerebral haemorrhage in the differential diagnosis of post-dural puncture headache in the puerperium.