Review of the literature on prevention of post–lumbar puncture headaches (PLPHAs) since the publication of the original assessment in 2000 yielded one study comparing use of cutting to atraumatic needles in diagnostic lumbar punctures, providing Class I evidence in favor of the atraumatic needle. Taken in conjunction with data from most studies in the anesthesiology literature, the Therapeutics...

Intracranial subdural haematoma is an exceptionally rare complication of spinal anaesthesia. A 20-yr-old male underwent appendicectomy under partial spinal and subsequent general anaesthesia. A week later, he presented with severe headache and vomiting not responding to bed rest and analgesia. Magnetic resonance imaging showed a small acute subdural haematoma in the right temporo-occipital regi...

PURPOSE Sphenopalatine ganglion block is widely accepted in chronic pain; however it has been underestimated in post dural puncture headache treatment. The ganglion block does not restore normal cerebrospinal fluid dynamics but effectively reduces symptoms associated with resultant hypotension. When correctly applied it may avoid performance of epidural blood patch. The transnasal approach is a...

Postpartum headache is the complaint of cephalic, neck, or shoulder pain occurring during the first 6 weeks after delivery. The overall incidence of postpartum headache has not been determined in a prospective study. However, information is available from a prospective evaluation of women during the first week postpartum1 and from a prospectively collected database that recorded symptoms during...

studying csf (cerebro spinal fluid) is a simple and fast measure for diagnosing meningitis in children. for this reason, lp [umbar puncture] is used to treat csf.  regarding the side effects of lp, we decided to determine the positive points observed in the patients’ files than total patients confined to bed in our selected population. in this study conducted by descriptive retrospective method...

how to cite this article: fallah r, habibian s, noori-shadkam m. efficacy and safety of single low dose intravenous fentanyl in pain reduction of lumbar puncture in near term neonates by a randomized clinical trial. iran j child neurol. spring 2016; 10(2):60-66. abstract objective reduction of pain of invasive procedures in neonates can prevent pain side effects. the purpose of present study wa...

Subarachnoid hemorrhage (SAH) from a leaking aneurysm is a neurological emergency. SAH patients often present with headache-a common chief complaint among emergency department patients. If unrecognized, 70% of the patients with re-bleeds die and one third are left with neurological deficits. Therefore, it is critical to distinguish the signs and symptoms of SAH from benign causes of headache, p...

OBJECTIVE Patients with acute headache often undergo computed tomography (CT) followed by a lumbar puncture to rule out subarachnoid hemorrhage. Our international study examined current practice, the perceived need for a clinical decision rule for acute headache and the required sensitivity for such a rule. METHODS We approached 2100 emergency physicians from 4 countries (Australia, Canada, t...

Main results 16 RCTs met the selection criteria; 1128 patients were assigned to long bed rest and 1083 patients were assigned to immediate mobilisation or short bed rest. Cervical or lumbar puncture was used for anaesthesia (5 trials), myelography (6 trials), and diagnostic reasons (5 trials). 11 trials compared bed rest with immediate mobilisation (0.5–24 h), and 5 trials compared longer bed r...