INTRODUCTION Spontaneous intracranial hypotension is an infrequent cause of secondary headache due to cerebrospinal fluid (CSF) hypovolemia. OBJECTIVE To describe a case of headache revealing spontaneous intracranial hypotension complicated by subdural hematoma following lumbar puncture. OBSERVATION A 34-year-old man presented with acute postural headache. The first cerebral computed tomogr...

Objective: This study identified the incidence and risk factors for headache attributed to acute pyelonephritis. Methods: The inclusion criteria were patients who were admitted with acute pyelonephritis at our hospital and ≥ 18 years of age. The following exclusion criteria were used: 1) patients who could not express their headache because of mental deterioration, 2) the presence of meningitis...

BACKGROUND Headache after cervical or lumbar puncture has long been attributed to early mobilization; however, there is little evidence for this. We performed a systematic literature review and meta-analysis of randomized controlled trials to assess whether longer bed rest is better than immediate mobilization or short bed rest in preventing headache. METHODS We searched EMBASE (1988 to March...

Introduction Dural puncture is a commonly performed invasive procedure for various indications like diagnostic lumbar puncture, spinal anaesthesia, myelography and intrathecal chemotherapy. However, in anaesthesia practice apart from intentional dural puncture as in spinal anaesthesia, unintentional dural puncture can also occur while performing epidural anaesthesia or analgesia for various ind...

Spinal subarachnoid hematoma (SSH) following diagnostic lumbar puncture is very rare. Generally, SSH is more likely to occur when the patient has coagulopathy or is undergoing anticoagulant therapy. Unlike the usual complications, such as headache, dizziness, and back pain at the needle puncture site, SSH may result in permanent neurologic deficits if not properly treated within a short period ...

BACKGROUND Complications of labor epidural anesthesia include a post-dural puncture headache (PDPH). A 2003 meta-analysis described the onset of PDPH as occurring from 1 to 7 days after the procedure. Presented here is the first published case of a PDPH occurring 12 days postpartum. METHODS Twelve days after an uncomplicated labor epidural a patient was awakened by a "crushing" postural heada...

Diagnostic Lumbar Puncture is one of the most commonly performed invasive tests in clinical medicine. Evaluation of an acute headache and investigation of inflammatory or infectious disease of the nervous system are the most common indications. Serious complications are rare, and correct technique will minimise diagnostic error and maximise patient comfort. We review the technique of diagnostic...