Any news on the postdural puncture headache front?

Best Pract Res Clin Anaesthesiol · Mar 2017

Review

Any news on the postdural puncture headache front?

Unintentional dural puncture followed by postdural puncture headache is a well-known complication following neuraxial labor analgesia. Risk factors for the development of postdural puncture headache may be related to the patient's history and characteristics, the neuraxial technique, and obstetrical events. ⋯ Complications following postdural puncture headache may include transient or permanent hypoacusis, cranial nerve palsies, subdural hematoma, and chronic headache. Evidence is limited regarding the safety and effectiveness of different interventions aimed to prevent or treat postdural puncture headache.

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- Feyce Peralta and Sarah Devroe.
- Department of Anesthesiology, Northwestern University Feinberg School of Medicine, 251 E. Huron St., F5-704, Chicago, IL 60611, USA. Electronic address: feyce.peralta@northwestern.edu.
- Best Pract Res Clin Anaesthesiol. 2017 Mar 1; 31 (1): 35-47.
AbstractUnintentional dural puncture followed by postdural puncture headache is a well-known complication following neuraxial labor analgesia. Risk factors for the development of postdural puncture headache may be related to the patient's history and characteristics, the neuraxial technique, and obstetrical events. The diagnosis of postdural puncture headache is usually made depending on the clinical presentation (orthostatic headache after a neuraxial procedure). Occasionally, neuroimaging and neurological consultation are warranted. Complications following postdural puncture headache may include transient or permanent hypoacusis, cranial nerve palsies, subdural hematoma, and chronic headache. Evidence is limited regarding the safety and effectiveness of different interventions aimed to prevent or treat postdural puncture headache.Copyright © 2017 Elsevier Ltd. All rights reserved.

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Any news on the postdural puncture headache front?

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