Dear editors, In his recent paper published in this journal, Matas addresses one important and well-studied aspect of postdural puncture headache prevention, i.e., the use of atraumatic spinal needles. On the other hand, when focusing on standard post-lumbar puncture recommendations, particularly 24 hours bed rest and controlled fluid ingestion, the author refers to four papers in which not onl...

Headache is a potential complication of epidural injection. We report a patient who developed headache 5 days after a lumbar epidural steroid injection, which was not related to the epidural procedure, but caused by Duloxetine induced hyponatremia. Antidepressant drug induced headache should be considered in the differential diagnosis of post dural puncture headache.

The objectives of this study is to find the incidence of post dural puncture headache(PDPH) while using traumatic(Quincke) and atraumatic(Whitacre) needles for spinal anaesthesia . A prospective randomized double blind study in 100 ASA 1 and 2 patients undergoing lumbar subarachnoid block for elective inguinal hernia surgery conducted over 8 months. Lumbar puncture was performed by Anaesthesiol...

Medical treatment of postlumbar puncture headache (post-LP HA) is often difficult and ineffective. Prevention would be preferable to more invasive procedures, including blood patch. The aim was to determine the incidence of post-LP HA in two suspected high risk groups compared with the general outpatient population. Based on previous research, it was hypothesised that a low substance P concentr...

1. Eldor J. Treatment of post-epidural headache with epidural morphine injection. Asian Archives ofAnesthesiotogy and Resuscitation 1991; 35:195-196. 2. Eldor J, Guedj P, Cotev S. Epidural morphine injections for the treatment of post-spinal headache. Can J Anaesth 1990; 37:710-711. 3. Eldor J, Gozal Y, Guid: P. Late post-spinal headache treated with epiduralmorphlne. Anesr/iesi'a 1990; 455:109...

Nusinersen (ISIS-SMNRx or ISIS 396443) is an antisense oligonucleotide drug administered intrathecally to treat spinal muscular atrophy. We summarize lumbar puncture experience in children with spinal muscular atrophy during a phase 1 open-label study of nusinersen and its extension. During the studies, 73 lumbar punctures were performed in 28 patients 2 to 14 years of age with type 2/3 spinal ...

1. Atabaki S, Ochsenschlager D, Vezina G: Post-lumbar puncture headache and backache in pediatrics: A case series and demonstration of magnetic remnance imaging findings. Arch Pediatr Adolesc Med 19%; 153:770-3 2. McHale J, O'Donovdn FC: Postdnral puncture symptoms in a child. Anaesthesia 1997; 52:688 -90 3 . Wee LH, Lam F, Cranston AJ: The incidence of post dural puncture headache in children....