The problem was analyzed and the pathophysiology of post-dural puncture headache highlighted. Clinical manifestations, risk factors diagnosis this complication are given. Modern methods for treatment described. own experience on prevention made public with conclusion that when using Ball-Pen needles, only 12 (0.56 %) 2125 patients complained hea­dache, which is 12.5 times less than average stat...

Intracranial hypertension and intracranial hypotension are on the opposite end of the intracranial pressure spectra. It is extremely uncommon for both to cause headache in the same patient within a span of several days. This report describes a young man with intracranial hypertension who developed a severe excruciating headache due to intracranial hypotension after a diagnostic lumbar puncture....

cutaneous sphincterotomy is the treatment of choice for patients with chronic anal fissure. Both procedures are easily and safely performed in the outpatient department under local anaesthesia, thereby avoiding the costs and disruption of admission to hospital. SHORT REPORTS Current practice of diagnostic lumbar puncture About 30%1 of patients have a headache after lumbar puncture,' and many st...

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...

BACKGROUND Post-dural puncture headache (PDPH) is an iatrogenic complication of spinal anesthesia. Reported risk factors for PDPH include sex, age, pregnancy, needle tip shape and size, bevel orientation, approach and others. Little is known regarding the effect of different approaches on the incidence of PDPH. OBJECTIVES In this study we aimed to compare the incidence of PDPH in the case of ...

INTRODUCTION The risk of postdural puncture headache following lumbar puncture can be reduced by choosing a blunt spinal needle or by using a smaller needle diameter. Reports indicate that lumbar puncture practiced outside of the anaesthetic discipline does not adhere to the current level of evidence. To examine the practice among haematologists in Denmark, we performed a national survey. In ad...

The syndrome of spontaneous intracranial hypotension is characterised by postural headache, low CSF pressure, and MRI findings of diVuse pachymeningeal gadolinium enhancement without a history of head or back trauma or lumbar puncture. We report on the MRI findings of a patient with spontaneous intracranial hypotension, before and after treatment. A 44 year old woman presented with severe subac...