In the 1950's, the generally accepted theory for the development of post dural puncture headache (PDPH) was leakage of cerebrospinal fluid via the hole in the dura which led to the introduction of smaller sized needles for dural puncture. This has lowered but not eliminated the incidence of PDPH. The literature has virtually as many different statistics on the incidence of PDPH as there are aut...

BACKGROUND Cosyntropin has been reported to be effective in the treatment of post-dural puncture headaches, but there is a lack of data on its effectiveness. We compared the efficacy of cosyntropin with that of caffeine in the treatment of post-dural puncture headaches. METHODS We performed an interim analysis of a prospective, double blinded, trial of adult patients presenting to the emergen...

The appearance of a subdural hematoma (SDH) following spinal anesthesia is a serious and rare complication which mandates prompt diagnosis, although the treatment modalities are not well codified. Patients with post-dural puncture headache (PDPH) non-responsive to conservative measures and/or those patients with a change of the character of the headache should be considered seriously. In sympto...