Postdural puncture headache
Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be i...
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doaj-2fce2af33ae3447f9bcde4c0c480626b2020-11-25T03:41:21ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632017-04-0170213614310.4097/kjae.2017.70.2.1368273Postdural puncture headacheKyung-Hwa Kwak0Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be incapacitating, prompt diagnosis and treatment are mandatory. A diagnostic hallmark of PDPH is a postural headache that worsens with sitting or standing, and improves with lying down. Conservative therapies such as bed rest, hydration, and caffeine are commonly used as prophylaxis and treatment for this condition; however, no substantial evidence supports routine bed rest and aggressive hydration. An epidural blood patch is the most effective treatment option for patients with unsuccessful conservative management. Various other prophylactic and treatment interventions have been suggested. However, due to a lack of conclusive evidence supporting their use, the potential benefits of such interventions should be weighed carefully against the risks. This article reviews the current literature on the diagnosis, risk factors, pathophysiology, prevention, and treatment of PDPH.http://ekja.org/upload/pdf/kjae-70-136.pdfepidural blood patchpostdural puncture headache |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kyung-Hwa Kwak |
spellingShingle |
Kyung-Hwa Kwak Postdural puncture headache Korean Journal of Anesthesiology epidural blood patch postdural puncture headache |
author_facet |
Kyung-Hwa Kwak |
author_sort |
Kyung-Hwa Kwak |
title |
Postdural puncture headache |
title_short |
Postdural puncture headache |
title_full |
Postdural puncture headache |
title_fullStr |
Postdural puncture headache |
title_full_unstemmed |
Postdural puncture headache |
title_sort |
postdural puncture headache |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2017-04-01 |
description |
Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be incapacitating, prompt diagnosis and treatment are mandatory. A diagnostic hallmark of PDPH is a postural headache that worsens with sitting or standing, and improves with lying down. Conservative therapies such as bed rest, hydration, and caffeine are commonly used as prophylaxis and treatment for this condition; however, no substantial evidence supports routine bed rest and aggressive hydration. An epidural blood patch is the most effective treatment option for patients with unsuccessful conservative management. Various other prophylactic and treatment interventions have been suggested. However, due to a lack of conclusive evidence supporting their use, the potential benefits of such interventions should be weighed carefully against the risks. This article reviews the current literature on the diagnosis, risk factors, pathophysiology, prevention, and treatment of PDPH. |
topic |
epidural blood patch postdural puncture headache |
url |
http://ekja.org/upload/pdf/kjae-70-136.pdf |
work_keys_str_mv |
AT kyunghwakwak postduralpunctureheadache |
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