conclusions there is no difference between median and paramedian approaches with respect to pdph incidence; the paramedian approach is therefore recommended, especially for older patients with degenerative changes in the spine and intervertebral spaces and those who cannot take the proper position. moreover, the rate of pdph was found to be significantly higher in females than in males. results...

BACKGROUND Post dural punction headache (PDPH) occurs in 10% to 40% of the patients who had a lumbar puncture. Its symptoms can be severe and incapacitating. The epidural blood patch is widely accepted as the treatment of choice for postdural puncture headache. Uncontrolled studies report rapid recovery after patching in 90% to 100% of treated patients. However, sufficient evidence from randomi...

Examination of the cerebrospinal fluid is an essential step in the diagnosis of late syphilis and is also necessary before any treated case of primary or secondary syphilis can be discharged as cured. The problem of lumbar puncture headache is therefore one of importance in all venereal disease clinics and the adoption of any method of reducing its incidence must be considered. Various procedur...

Spontaneous intracranial hypotension (SIH) is an increasingly recognised syndrome. Postural headache with typical findings on magnetic resonance imaging (MRI) are the key to diagnosis. Orthostatic headache, low cerebrospinal fluid opening pressure, and diffuse meningeal enhancement on post-contrast T1-weighted MRI brain studies are the major features of this increasingly recognised syndrome. He...

Post-Spinal Headache: A New Possible Pathophysiology Ali Shahriari, and Mahdi Sheikh Department of Anesthesiology, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran Corresponding author: Ali Shahriari, Department of Anesthesiology, Roozbeh Hospital, Tehran University of Medical ...

THE MULTITUDE of factors involved in the etiology of the post-lumbar puncture headache (PPH) were surveyed in a previous monograph.1 That study indicated several factors to be of prime importance, including needle size, sex, and age. The present study was designed to evaluate. more precisely the effect of needle size on the production of the PPH. Sex differences in the incidence of PPH are also...

introduction: post dural puncture headache is still a common complication among young women undergone cesarean section, although use of small size spinal needles reduced its prevalence. several methods have been suggested for prevention and treatment of this side effect; such as complete bed rest, hydration, non-opioid analgesics, caffeine, codeine, which none of them proved to be totally effec...