The patient was a 39-year-old pregnant woman who was scheduled for cesarean section. Spinal anesthesia was induced using a 26-gauge needle with an atraumatic bevel. Postoperatively, the patient developed cranial subdural hematoma manifesting as severe non-postural headache, associated with right eye tearing, fifth cranial nerve palsy and left hemiparesis. The diagnosis was confirmed by computed...

lumbar puncture (lp) is a procedure for obtaining spinal fluid from spinal meningeal spaces this can be done as a diagnostic or therapeutic procedure which can result in to a typical positional headache named as post lumbar puncture headache .this can cause a lot of discomforts for patients and makes fear from the procedure. this study designed to evaluate the effect of resting position after l...

BACKGROUND After accidental dural puncture in labour it is suggested that inserting an intrathecal catheter and converting to spinal analgesia reduces postdural puncture headache and epidural blood patch rates. This treatment has never been tested in a controlled manner. METHODS Thirty-four hospitals were randomised to one of two protocols for managing accidental dural puncture during attempt...

BACKGROUND The number needed to treat (NNT) for one participant to benefit is considered a useful, clinically meaningful way of reporting binary outcomes from randomized trials. Analysis of continuous data from our randomized controlled trial has previously demonstrated a significant and clinically important difference favoring spinal manipulation over a light massage control. METHODS Eighty ...

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...

CONTEXT Episodic tension-type headache is common and is often treated using manual therapies. Few data exist for the efficacy of these interventions. OBJECTIVE To determine the effects of spinal manipulation therapy on adults with episodic tension-type headache. DESIGN Randomized controlled trial lasting 19 weeks. SETTING Outpatient facility of a National Health Service-funded chiropracti...

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 AND PURPOSE Postural headache most often occurs after lumbar puncture as post-lumbar puncture headache (PLPH) or, rarely, spontaneously as spontaneous intracranial hypotension headache (SIHH). In this prospective study, we used spinal MR imaging to determine the findings that would assist in the diagnosis of PLPH and SIHH and that would further our pathophysiological understanding of...

conclusions the aspiration of 1 - 3 ml of csf before an injection of levobupivacaine did not seem to affect the spread and duration of the sensory block or postpuncture complications in children following sa. results there were no between-group differences in the time to regression of the block below t10 or in the cephalic spread of the sensory block: 94 (27) minutes and t4.4 (sd 2.2) in the cs...

Spontaneous spinal subdural hematoma (SDH) is very rare. Furthermore, intracranial vasospasm (ICVS) associated with spinal hemorrhage has been very rarely reported. We present an ICVS case without intracranial hemorrhage following SDH. A 41-year-old woman was admitted to our hospital with a complaint of severe headache. Multiple intracranial vasospasms were noted on a brain CT angiogram and tra...