Post-dural puncture headache is a common outcome following either spinal or epidural anesthesia. Cases were collected within five years' period (1988-1992) in Keelung Chang Gung Memorial Hospital. Those cases with relief of post-dural puncture headache after conservative treatment were excluded. There were 159 cases, 128 female patients and 31 male patients. Age ranged from 16-63 yrs. Post-dura...

Introduction: Inflammation is one of the probable causes of post-dural puncture headache (PDPH); logically, therefore, anti-inflammatory drugs such as dexamethasone can reduce the headache. The aim of this study was to evaluate the effect of intravenous dexamethasone 8 mg on PDPH in cesarean surgery. Methods: This randomized double-blind clinical study was conducted on 104 patients aged from 1...

Severe headache during pregnancy can lead to a broad spectrum of differential diagnoses, including pre-eclampsia, migraine, post dural spinal headaches, and intracranial pathology. Herein is described a case of an obstetric patient who was admitted for a repeat Cesarean section. After receiving spinal anesthesia, she developed a sudden, severe headache and subsequently experienced a seizure two...

BACKGROUND Even if carried out under optimal conditions, postdural puncture headache is still a frustrating and unpleasant complication in spinal anesthesia. This syndrome has an estimated incidence from less than 1% to about 5% of patients undergoing spinal anesthesia, even in the highest risk subset, the young, female, and pregnant population. CASE PRESENTATION In our two female cases, head...

s related to the PhD thesis I. Párdutz Á, Vécsei L, Schoenen J Systemic nitroglycerin administration increases nitric oxide synthase-immunoreactive cells in rat spinal trigeminal nucleus: towards a better understanding of the possible role of nitric oxide in migraine? Headache World, London, UK, 2000, Cephalalgia 20: 281. II. Párdutz Á,Vécsei L, Schoenen J Systemic nitroglycerin administration ...

OBJECTIVE To determine spinal complications during and after surgery in obstetrics and gynecological patients. METHODS We conducted a descriptive study in Al-Wahda and Aden Teaching Hospitals in Aden, Yemen from March 2004 to March 2005. One hundred and fifty obstetrics and gynecological patients were enrolled. Before and during surgery, pulse and blood pressure was monitored, and patients we...

Cerebrospinal fluid (CSF) leakage is known to cause orthostatic headache. Spontaneous CSF leakage occurs under several conditions, such as lumbar puncture, spinal surgery, and fracture of the spine. Intrasacral meningocele is an anomaly caused by an abnormal prolongation of the meninges in the sacral spinal canal. Typical symptoms of this anomaly are low back pain, bladder dysfunction, and scia...

Spinal subdural hematoma (SDH) is a rare condition and can be caused by several factors. Concomitant cranial and spinal SDH is even much less common. We present a 77-year-old male patient with lower back pain, paraparesis, and urinary retention following a sudden onset headache. Imaging revealed concomitant cranial and spinal SDH related to cerebral venous thrombosis (CVT) associated with hemor...

The most frequent clinical manifestation of vertebral artery dissection is posterior headache or neck pain accompanied or followed by posterior circulation transient ischemic attack or stroke. Rarer clinical features include isolated headache or neck pain, cervical spinal cord ischemia and cervical root impairment. Asymptomatic vertebral artery dissections have been reported. In the case of pri...

Cerebrospinal fluid (CSF) leakage is known to cause orthostatic headache. Spontaneous CSF leakage occurs under several conditions, such as lumbar puncture, spinal surgery, and fracture of the spine. Intrasacral meningocele is an anomaly caused by an abnormal prolongation of the meninges in the sacral spinal canal. Typical symptoms of this anomaly are low back pain, bladder dysfunction, and scia...