how to cite this article: bani hashem a, heydarian f, gharavi m, khoshnod m. postdural puncture headache: incidence and risk factors in children followingintrathecal chemotherapy. iranian journal of child neurology 2012;6(1):19-22. objective to evaluate the incidence and risk factors of development of postdural puncture headache in children who had intrathecal chemotherapy injection. materials ...

Intracranial subdural haematoma is an exceptionally rare complication of spinal anaesthesia. A 20-yr-old male underwent appendicectomy under partial spinal and subsequent general anaesthesia. A week later, he presented with severe headache and vomiting not responding to bed rest and analgesia. Magnetic resonance imaging showed a small acute subdural haematoma in the right temporo-occipital regi...

1327 December 2014 B ecause of cerebrospinal fluid (csF) leak, orthostatic headaches sometimes follow neuraxial blockade or diagnostic lumbar puncture. etiology and treatment are straightforward in those settings, since a site of dural disruption is known.1,2 With patient consent, we present a case in which intracranial hypotension resulted from dural puncture by a vertebral osteophytic spur. T...

BACKGROUND The effects of epidural needle design, angle, and bevel orientation on cerebrospinal fluid leak after puncture have not been reported. The impact of these factors on leak rate was examined using a dural sac model. Dural trauma was examined using scanning electron microscopy. METHODS Human cadaveric dura, mounted on a cylindrical model, was punctured with epidural needles using a mi...

BACKGROUND Postdural puncture headache (PDPH) occurs in up to 80% of parturients who experience inadvertent dural puncture during epidural catheter placement. The authors performed a randomized double blind study to assess the effect of prophylactic epidural blood patch on the incidence of PDPH and the need for therapeutic epidural blood patch. METHODS Sixty-four parturients who incurred inad...

Regional anesthesia is the favored methods of cesarean section delivery due to their safety to the mother, simplicity of the technique, lesser maternal risk and satisfactory postoperative analgesic effect [1-3]. However, Post-dural puncture headache (PDPH) has been a problem for patients next to dural puncture which is the iatrogenic cause of patient’s morbidity in modern anesthesia, as well as...

Puerperal women are reported to have a rate of cerebral infarction 13 times greater than non-pregnant females. We report a case of cerebral ischaemia in a 30-yr-old healthy parturient after epidural analgesia for labour, complicated by dural puncture treated with two epidural blood patches. Investigations showed the development of cerebral ischaemia on postpartum day 14. A transcranial Doppler ...

Background: Post-dural puncture headache is a known complication of neuraxial anesthesia and acute subdural hematoma has been associated with unintentional dural puncture. Notably, significant number punctures remain unidentified. We present two contrasting cases (SDH) following labour epidural no sign at time anesthesia. Patient 1 presented post-partum day (PPD) six, SDH was identified PPD23, ...

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.

To the Editor:— We read with interest the study by Scavone et al. that demonstrates the absence of efficacy of a prophylactic epidural blood patch after inadvertent dural puncture. We suggest that two factors could have influenced the negative result of this trial. First, inadvertent dural puncture could have been overdiagnosed, namely when loss of resistance to saline was used to locate epidur...