OBJECTIVE To investigate the effect of dexamethasone in reducing the incidence of headache. METHODS This randomized controlled trial was carried out in 160 cesarean patients with physical conditions-1 and emergency-1 at 22-Bahman Hospital, Iran between March 2010 and March 2011. Patients were randomly divided into sample and control groups. The women were studied for incidence of headache in ...

BACKGROUND Post dural punction headache (PDPH) occurs in 10% to 40% of the patients who had a lumbar puncture. Its symptoms can be severe and incapacitating. The epidural blood patch is widely accepted as the treatment of choice for postdural puncture headache. Uncontrolled studies report rapid recovery after patching in 90% to 100% of treated patients. However, sufficient evidence from randomi...

rhythms (for example, by temporary transcutaneous pacing, magnet). • The often-given recommendation of application of the 'current in a fashion that it will not cross the generator ⁄ lead ⁄ chest system' might be of less relevance than currently thought. In our case, repositioning the return electrode away from the apex of the heart did not result in any change of the current necessary to trans...

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...

We report the case of a 39-year-old woman with unilateral intracranial chronic subdural haematoma that occurred after epidural anesthesia for excision of a skin scar, complicated by postdural puncture headache. The patient had no history of trauma, headache, coagulation abnormalities, or neurological disorders. Most physicians encountering a case of headache after epidural or spinal anesthesia ...

BACKGROUND: Post-dural puncture headache is a symptom often found in post-operative patients who receive spinal anesthesia. Therefore, therapy to reduce patient complaints becomes comparison find the best alternative for action. This case discusses post-dural risk factors post-cesarean section and sphenopalatine ganglion block as an pain intervention. CASE PRESENTATION: The 26-year-old woman, G...

The headache which sometimes develops after a lumbar puncture has a dual interest, for not only is it important in the clinical management of the patient, but also it has stimulated enquiry into the causative mechanism of headache as a whole. Post-puncture headache has characteristic features. It may appear from a few hours to a few days after the puncture, and it is made worse by jugular compr...