Introduction Dural puncture is a commonly performed invasive procedure for various indications like diagnostic lumbar puncture, spinal anaesthesia, myelography and intrathecal chemotherapy. However, in anaesthesia practice apart from intentional dural puncture as in spinal anaesthesia, unintentional dural puncture can also occur while performing epidural anaesthesia or analgesia for various ind...

We report the case of a young patient with 36 weeks pregnancy, and an acute respiratory infection with severe bronchospasm, who developed an occipital headache and neck pain on the third day of inadvertent dural puncture during placement of combined epidural spinal anaesthesia for caesarian section. It was diagnosed as post-dural puncture headache until generalised tonic clonic seizures occurre...

BACKGROUND The most common complication of lumbar puncture (LP) occurring in over thirty percent of patients is headache. The position after lumbar puncture, needle type and size, and volume of the extracted cerebrospinal fluid (CSF) have been evaluated as contributory factors in occurrence of post lumbar puncture headache (PLPH), but the position before lumbar puncture has not been evaluated. ...

conclusions spinal anesthesia in the sitting position is more associated with significant phdh than that in the left lateral decubitus position for patients undergoing elective caesarian section. background the most common method of anesthesia for cesarean section is spinal anesthesia, and postdural puncture headache (pdph) remains a major complication of this procedure. nowadays, pdph is a maj...

We present a case of a post-dural puncture headache occurring 20 min after spinal anaesthesia using a 27-Gauge Whittacre needle. The unusually early occurrence of this complication is thought to be the first of its kind reported in the literature and highlights the novelty of this case.

Nusinersen (ISIS-SMNRx or ISIS 396443) is an antisense oligonucleotide drug administered intrathecally to treat spinal muscular atrophy. We summarize lumbar puncture experience in children with spinal muscular atrophy during a phase 1 open-label study of nusinersen and its extension. During the studies, 73 lumbar punctures were performed in 28 patients 2 to 14 years of age with type 2/3 spinal ...