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...

OBJECTIVES To compare the frequency of headache and the procedure time following lumbar puncture (LP) using a 25-gauge needle compared to a 22-gauge needle. DESIGN 4-period crossover blinded randomised controlled trial. SETTING Oncology unit, Royal Children's Hospital, Melbourne. PATIENTS Children aged 4-15 years at enrolment having LPs as part of their treatment for leukaemia. INTERVEN...

In order to determine the influence of early ambulation and other factors on headaches occurring after lumbar myelography we randomised 207 patients (127 men and 80 women) into two groups. Following the investigation, we allowed the 101 patients (65 men and 36 women) in group A to sit or stand freely, while we confined the 106 patients (62 men and 44 women) in group B to bed for 20 hours. The n...

This prospective cohort study determined the incidence and risk factors for development of postdural puncture headache (PDPH) in children after lumbar puncture (LP). Eighty-six children were enrolled. LPs were performed with use of 22-gauge spinal needles with the bevel oriented parallel to the long axis of the spine. Follow-up telephone interviews and patients' diary of symptoms were collected...

Headache (HA) is a common sequel to lumbar puncture (LP), whether performed for diagnosis or anesthesia. In their monograph summarizing the world literature through 1960, Tourtellotte et al. considered separately three principal patient populations: 1) patients undergoing diagnostic LPs (excluding myelography, pneumoencephalography, and cisternal puncture), excluding also patients whose conditi...

background and importance: lumboperitoneal shunts are commonly used to treat several conditions, but their use can result in significant complications. we discuss a complication of these shunts that has not been reported in the literature to date. case presentation: an obese, 41-year-old woman admitted to rasool akram hospital complaining of a severe headache and blurred vision. the physical ex...

We read with great interest study conducted by Mosaffa et al. (1), designed to compare the rate of post-dural puncture headache (PDPH) in median and paramedian approaches in spinal anesthesia in the September issue of Anesthesiology and Pain Medicine. Spinal anaesthesia has been used in patients from preterm neonates to aged over a hundred years. At present it is a gold standard for many differ...