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Post spinal puncture headache (PSPH) is a well known complication of spinal anesthesia. It occurs after spinal anesthesia induction due to dural and arachnoid puncture and has a significant effect on the patient’s postoperative well being. This manuscript is based on an observational study that runs on Babol University of Medical Sciences and review of literatures about current concepts about t...

the purported mechanism underlying the development and progression of cervicogenic headache (ceh) is the convergence of sensory inputs at the trigeminocervical nucleus. this mechanism explains the radiation of pain from the neck or the occipitonuchal area and its spread to the oculo-fronto-temporal region; it also explains the recurrent headaches caused by improper neck postures or external pre...

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...

Patients suffering from cervicogenic headache (CeH) are commonly treated with spinal manipulative therapy. We have analyzed the quality and the outcomes of published, randomized, controlled trials assessing the effectiveness of spinal manipulation in CeH. Among 121 relevant articles, only two met all the inclusion criteria. Methodological quality scores were 8/10 and 7/10 points. Only one of th...