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- Antonio Monteiro Rodriques and Pierre-Marie Roy.
- Service d'accueil et traitement des urgences, centre hospitalier universitaire, Angers Cedex.
- Rev Prat. 2007 Feb 28;57(4):353-7.
AbstractThe postdural puncture headache is a frequent iatrogenic complication due to an excessive leakage of cerebrospinal fluid. The leak through the dural perforation mainly depends on the size and design of the needle. The diagnostic is based on the notion of dural puncture, headache worsening in upright posture and other symptoms as neck stiffness, tinnitus, hypacusia, photophobia or nausea. Symptoms resolve spontaneously within 1 week or within 48 hours after autologous epidural blood patch. Prevention is based on using small-gauge pencil-point needles whereas the duration of bed rest has no effect on the incidence of postlumbar puncture headache.
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