The problem was analyzed and the pathophysiology of post-dural puncture headache highlighted. Clinical manifestations, risk factors diagnosis this complication are given. Modern methods for treatment described. own experience on prevention made public with conclusion that when using Ball-Pen needles, only 12 (0.56 %) 2125 patients complained hea­dache, which is 12.5 times less than average stat...

August Bier’s first report of spinal anesthesia in August 1898 impressively described the development of a poste dural puncture headache (PDPH) (1). When asked for complications of spinal anesthesia today, patients often respond with PDPH. PDPH is defined as a constant heado ache that worsens in the sitting or upright position folglowing lumbar puncture (LP). Its incidence after spinal anesthes...

and employing authorities are being asked to review their consultant requirements to achieve a consultant led service. The increase in the numbers of consultants previously recommended by the British Paediatric Association4 is supported in the report; this will mean a further increase in training grades. In future, training in paediatrics at all levels will need to include work in hospitals and...

Post-dural puncture cephalgia is a complication often encountered by the anesthesia practitioner. Disruption in the continuity of the dura incurred during diagnostic procedures (such as myelography or cerebral spinal fluid harvesting) also increases the number of patients requiring treatment for severe to incapacitating cephalgia. The anesthetist's ability to differentiate, evaluate, and assist...

Postdural puncture headache (PDPH) has been a problem for patients, following dural puncture, since August Bier reported the first case in 1898. His paper discussed the pathophysiology of low-pressure headache resulting from leakage of cerebrospinal fluid (CSF) from the subarachnoid to the epidural space. Clinical and laboratory research over the last 30 years has shown that use of small-gauge ...

BACKGROUND AND OBJECTIVES Post-dural puncture headache is the most frequent complication after spinal anesthesia or accidental dural perforation during attempted epidural block. This report aimed at describing the use of hydrocortisone to treat and prevent post-dural puncture headache (PDPH). CASE REPORTS Three cases in which hydrocortisone was used to treat and prevent post-dural puncture he...

We report the case of a woman who developed cerebral venous sinus thrombosis after an attempted epidural. The epidural was complicated by an accidental dural puncture and the ensuing headache was initially treated with an epidural blood patch. Cerebral venous sinus thrombosis is an uncommon condition with varying aetiology and risk factors. We discuss the importance of the differential diagnosi...

BACKGROUND AND OBJECTIVES Post-dural puncture headache is a possible and expected complication in a small percentage of cases after spinal anesthesia. The objective of the current report was to describe the therapeutic conduct in a case of post-dural puncture headache with seven months of evolution. CASE REPORT A 40-year-old healthy female who complained of headache for seven months, which be...