• Curr Pain Headache Rep · Nov 2024

    Review

    Management of Post Dural Puncture Headache During Spinal Cord Stimulation Trials: A Review of Current Literature.

    • Ronnie Stotts, Rishabh Jain, Amit Aggarwal DO, and Rana Al-Jumah.
    • University of Texas Medical Branch, Galveston, TX, USA.
    • Curr Pain Headache Rep. 2024 Nov 1; 28 (11): 107310781073-1078.

    Purpose Of ReviewThe purpose of this review is to evaluate, discuss and explain the current literature regarding management of post dural puncture headaches (PDPH) during spinal cord stimulation (SCS) trials.Recent FindingsAlthough an epidural blood patch (EBP) remains the gold standard in treatment of PDPH, current literature describes other modalities including various peripheral nerve blocks and pharmacological treatments to reduce PDPH symptoms. PDPH management in SCS centers around conservative treatment and EBP. It has been shown that some practitioners choose prophylactic measures and/or an EBP at the time of the lead placement. Recent literature regarding obstetric anesthesia related PDPH management has included newer potential modalities for addressing symptom improvement that can also be applied to PDPH from SCS trial dural punctures. Due to limited data overall, further studies are needed to effectively provide a guideline on optimal treatment protocols for PDPH after dural puncture in SCS trials.© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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