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Post dural puncture headache (PDPH), also known as post lumbar puncture (LP) headache, is a common complication of diagnostic LP. It also can occur following spinal anesthesia or, more commonly, inadvertent dural puncture during attempted epidural catheter placement.
Postdural puncture headache (PDPH) is a recognized complication of unintentional dural puncture during epidural analgesia or intentional dural puncture for spinal anesthesia or for diagnostic or interventional neuraxial procedures.
Postdural puncture headache (PDPH) is a potential expected complication of a lumbar puncture, with symptoms related to traction on pain-sensitive structures from low cerebrospinal fluid (CSF) pressure (intracranial hypotension) following a leak of CSF at the puncture site.
Post-dural-puncture headache (PDPH) is a complication of puncture of the dura mater (one of the membranes around the brain and spinal cord). [3] The headache is severe and described as "searing and spreading like hot metal", involving the back and front of the head and spreading to the neck and shoulders, sometimes involving neck stiffness.
The International Headache Society (IHS) defines PDPH as a headache occurring within 5 days of a lumbar puncture, caused by cerebrospinal fluid (CSF) leakage through the dural puncture. It is usually accompanied by neck stiffness and/or subjective hearing symptoms.
Most spinal headaches — also known as post-dural puncture headaches — resolve on their own with no treatment. However, severe spinal headaches lasting 24 hours or more may need treatment.
The diagnosis of post-dural puncture headache is frequently clear from the history of dural puncture and the presence of a severe postural headache. However, it is important to consider alternative diagnoses (Table 2) as serious intracranial pathology may masquerade as a post-dural puncture headache.
Post-dural puncture headache (PDPH) is occasionally an inevitable side effect of neuraxial anesthesia, which can happen after spinal anesthesia or if an accidental dural puncture (ADP) happens during epidural anesthesia. The treatment and prevention options for PDPH differ widely from one institution to another.
Post Dural Puncture Headache (PDPH) Background. Onset within hours to days after dural puncture (66% within 2 days, 90% within 3 days, but case reports up to 12 days later) Cardinal feature of the headache is postural nature – improves with recumbency and worsens with sitting/standing. Headache is usually bilateral, can be frontal and/or occipital.
Post-dural puncture headache (PDPH) develops in up to 80% of patients following ADP with 16- to 18-gauge epidural needles and can be associated with significant maternal distress, increased hospital length of stay, costs, and increased workload for the anesthesiologist . According to the International Headache Society, PDPH is defined as ...