background: spinal anesthesia is usually applied for urologic surgeries. postdural puncture headache (pdph) is among common complications which has not been reduced during last years despite all advances in the field of medicine. therapeutic effects of conventional therapy (paracetamol and novaphen) are being compared to intravenous meperidine in patients suffering from pdph. methods: one hundr...

background: accidental dural puncture during epidural blockade is a rare complication. since postdural puncture headache (pdph) is the most frequent complication, a wisely management method will also reduce the incidence of pdph. methods: five patients who had inadvertent dural puncture during the epidural procedure before hip or knee arthroplasty were included in this study. after dural punctu...

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...

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...

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...

abstract background: the most common complication of lumbar puncture (lp) occurring in over thirty percent of patients is headache. the position after lumbar puncture, needle type and size, and volume of the extracted cerebrospinal fluid (csf) have been evaluated as contributory factors in occurrence of post lumbar puncture headache (plph), but the position before lumbar puncture has not been e...

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...

Spinal anaesthesia developed in the late 1800s with the work of Wynter, Quincke and Corning. However, it was the German surgeon, Karl August Bier in 1898, who probably gave the first spinal anaesthetic. Bier also gained first-hand experience of the disabling headache related to dural puncture. He correctly surmised that the headache was related to excessive loss of cerebrospinal fluid (CSF). In...

BACKGROUND Inserting an intrathecal catheter after accidental dural puncture in parturients to prevent postdural puncture headache is becoming increasingly popular. We aimed to identify relevant published articles investigating this intervention and subject data to a meta-analysis. METHODS A systematic literature search was performed, paralleled by a hand search of abstract publications. Stud...