Title |
Post-dural puncture headache
|
---|---|
Published in |
International Journal of General Medicine, January 2012
|
DOI | 10.2147/ijgm.s17834 |
Pubmed ID | |
Authors |
Ahmed Ghaleb, Arjang Khorasani, Devanand Mangar |
Abstract |
Since August Bier reported the first case in 1898, post-dural puncture headache (PDPH) has been a problem for patients following dural puncture. Clinical and laboratory research over the last 30 years has shown that use of smaller-gauge needles, particularly of the pencil-point design, are associated with a lower risk of PDPH than traditional cutting point needle tips (Quincke-point needle). A careful history can rule out other causes of headache. A postural component of headache is the sine qua non of PDPH. In high-risk patients < 50 years, post-partum, in the event a large-gauge needle puncture is initiated, an epidural blood patch should be performed within 24-48 hours of dural puncture. The optimum volume of blood has been shown to be 12-20 mL for adult patients. Complications caused by autologous epidural blood patching (AEBP) are rare. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Colombia | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Netherlands | 1 | 2% |
Unknown | 60 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 9 | 15% |
Student > Postgraduate | 8 | 13% |
Other | 7 | 11% |
Researcher | 7 | 11% |
Professor | 5 | 8% |
Other | 19 | 31% |
Unknown | 6 | 10% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 38 | 62% |
Agricultural and Biological Sciences | 5 | 8% |
Nursing and Health Professions | 3 | 5% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Computer Science | 1 | 2% |
Other | 1 | 2% |
Unknown | 12 | 20% |