INTRODUCTION The risk of postdural puncture headache following lumbar puncture can be reduced by choosing a blunt spinal needle or by using a smaller needle diameter. Reports indicate that lumbar puncture practiced outside of the anaesthetic discipline does not adhere to the current level of evidence. To examine the practice among haematologists in Denmark, we performed a national survey. In ad...

Introduction. Spinal anesthesia is one of the oldest and most commonly used regional techniques. It based on injection a local anesthetic into subarachnoid space, during which there transient interruption impulse conduction in spinal nerve roots. Application anesthesia. The use depends following factors: site surgical procedure, type duration degree necessary relaxation, presence accompanying d...

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...

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...

PURPOSE Many studies have indicated that cervicogenic headache may originate from the cervical structures innervated by the upper cervical spinal nerves. To date, no study has investigated whether narrowing of the craniovertebral angle (CVA) or cervicomedullary angle (CMA) affects the three upper cervical spinal nerves. The aim of this study was to investigate the effect of CVA and/or CMA narro...

Background Chronic subdural hematoma (CSDH) after spinal anesthesia is a rare complication. We experienced a patient who developed CSDH after postdural puncture headache (PDPH) following combined spinal and epidural anesthesia (CSE). Case presentation A 38-week-gestation parturient with a history of previous cesarean delivery underwent elective cesarean section under CSE. She had been receivi...

Increased intracranial pressure (IICP) is rarely seen in association with primary spinal tumors. We describe a 58-year-old man who was diagnosed with a primary spinal cord astrocytoma, who first presented with hypesthesia, followed by intracranial hypertension, papilledema and blurred vision. On first admission, he presented with hypesthesia but without paraparesis, headache or blurred vision. ...

Subarachnoid haemorrhage arises from the accumulation of blood between arachnoid and pia mater resulting an aneurysmal rupture or traumatic head injury. is a life-threatening emergency that requires prompt treatment. The characteristic presenting symptom thunderclap headache, which patients may describe as “worst headache life” further imaging. Associated symptoms include nausea, vomiting, dipl...

BACKGROUND The cerebrospinal fluid (CSF) leakage could be happened spontaneously or related to the procedures such as spinal anesthesia, epidural anesthesia, CSF tapping, intrathecal chemotherapy or other spinal procedures. The leakage of CSF leads to intracranial hypotension of which distinguishing clinical feature is orthostatic headache. The epidural blood patch is a gold-standard treatment ...

Background: Post dural puncture headache(PDPH) is a bilateral occipito-frontal headache occurs in 0.1 to 36% of cases receiving spinal anesthesia. We evaluated the incidence PDPH after anesthesia using two commonly used needles, 25G and 27G Quincke needles among females undergoing elective cesarean section. Aims Objectives: The aim study was compare post-dural with And Needle – terms Incidence,...