Book contents
- Cambridge Handbook of Pain Medicine
- Cambridge Handbook of Pain Medicine
- Copyright page
- Contents
- Contributors
- Pain Handbook Introduction
- Part I Introduction to Pain: Pain Signaling Pathways
- Part II Common Categories of Pharmacologic Medications to Treat Chronic Pain
- Part III Chronic Pain Conditions Head and Neck
- Chapter 11 Post-dural Puncture Headache
- Chapter 12 Migraines
- Chapter 13 Trigeminal Neuralgia
- Chapter 14 Occipital Neuralgia
- Part IV Spine
- Part V Extremities
- Part VI Misc
- Part VII Adjunctive Therapy
- Index
- References
Chapter 11 - Post-dural Puncture Headache
from Part III - Chronic Pain Conditions Head and Neck
Published online by Cambridge University Press: 01 December 2023
Book contents
- Cambridge Handbook of Pain Medicine
- Cambridge Handbook of Pain Medicine
- Copyright page
- Contents
- Contributors
- Pain Handbook Introduction
- Part I Introduction to Pain: Pain Signaling Pathways
- Part II Common Categories of Pharmacologic Medications to Treat Chronic Pain
- Part III Chronic Pain Conditions Head and Neck
- Chapter 11 Post-dural Puncture Headache
- Chapter 12 Migraines
- Chapter 13 Trigeminal Neuralgia
- Chapter 14 Occipital Neuralgia
- Part IV Spine
- Part V Extremities
- Part VI Misc
- Part VII Adjunctive Therapy
- Index
- References
Summary
Common adverse complication following dural puncture (DP) during epidural orspinal anesthesia which results in symptoms such as dull throbbing headache, fronto-occipital distribution, worse in seated position, alleviated when supine. Other symptoms include nausea, vomiting, neck stiffness, and tinnitus. Adverse event is seen commonly in patients receiving epidural or spinal neuraxial anesthesia, which occurs following inadvertent puncture of the dura. Conservative treatment is often adequate in majority of the patients, but medical management can be used liberally with a variety of safe, well-studied pharmacologic options. Epidural blood patch is the gold standard in treating unremitting PDPH but should be used cautiously due to the potential for rare but serious complications.
- Type
- Chapter
- Information
- Cambridge Handbook of Pain Medicine , pp. 69 - 74Publisher: Cambridge University PressPrint publication year: 2023
References
Kwak, K-H. Postdural puncture headache. Korean J Anesthesiol. 2017;70(2):136–143.CrossRefGoogle ScholarPubMed
Morewood, GH. A rational approach to the cause, prevention and treatment of postdural puncture headache. CMAJ. 1993;149(8):1087–1093.Google Scholar
Amorim, JA, Gomes De Barros, MV, Valença, MM. Post-dural (post-lumbar) puncture headache: Risk factors and clinical features. Cephalalgia. 2012;32(12):916–923.CrossRefGoogle ScholarPubMed
Haller, G, Cornet, J, Boldi, M-O, Myers, C, Savoldelli, G, Kern, C. Risk factors for post-dural puncture headache following injury of the dural membrane: A root-cause analysis and nested case-control study. Int J Obstet Anesth. 2018;36:17–27.CrossRefGoogle ScholarPubMed
Liu, H, Kalarickal, PL, Rosinia, F. A case of paradoxical presentation of postural postdural puncture headache. J Clin Anesth. 2012;24(3):255–256.CrossRefGoogle ScholarPubMed
Faure, E, Moreno, R, Thisted, R. Incidence of postdural puncture headache in morbidly obese parturients. Reg Anesth. 1994;19(5):361–363.Google ScholarPubMed
Candido, KD, Stevens, RA. Post-dural puncture headache: Pathophysiology, prevention and treatment. Best Pract Res Clin Anaesthesiol. 2003;17(3):451–469.CrossRefGoogle ScholarPubMed
Gaiser, RR. Postdural puncture headache. Anesthesiol Clin. 2017;35(1):157–167.CrossRefGoogle ScholarPubMed
Lim, G, Zorn, JM, Dong, YJ, DeRenzo, JS, Waters, JH. Subdural hematoma associated with labor epidural analgesia. Reg Anesth Pain Med. 2016;41(5):628–631.CrossRefGoogle ScholarPubMed
Darvish, B, Dahlgren, G, Irestedt, L et al. Auditory function following post-dural puncture headache treated with epidural blood patch. A long-term follow-up. Acta Anaesthesiol Scand. 2015;59(10):1340–1354.CrossRefGoogle ScholarPubMed
Salzer, J, Rajda, C, Sundström, P et al. How to minimize the risk for headache? A lumbar puncture practice questionnaire study = Hogyan csökkenthető a posztpunkciós fejfájás? Kérdőíves vizsgálat a lumbálpunkciós gyakorlatról. Ideggyogy Sz. 2016;69(11–12):397–402.CrossRefGoogle Scholar
Arevalo-Rodriguez, I, Ciapponi, A, Roqué i Figuls, M, Muñoz, L, Bonfill Cosp, X. Posture and fluids for preventing post-dural puncture headache. Cochrane Database Syst Rev. 2016;3:CD009199.Google ScholarPubMed
Choi, A, Laurito, CE, Cunningham, FE. Pharmacologic management of postdural puncture headache. Ann Pharmacother. 1996;30(7–8):831–839.CrossRefGoogle ScholarPubMed
Baratloo, A, Rouhipour, A, Forouzanfar, MM et al. The role of caffeine in pain management: A brief literature review. Anesthesiol Pain Med. 2016;6(3):e33193.CrossRefGoogle ScholarPubMed
Yücel, A, Ozyalçin, S, Talu, GK, Yücel, EC, Erdine, S. Intravenous administration of caffeine sodium benzoate for postdural puncture headache. Reg Anesth Pain Med. 1999;24(1):51–54.CrossRefGoogle ScholarPubMed
Feuerstein, TJ, Zeides, A. Theophylline relieves headache following lumbar puncture: Placebo-controlled, double-blind pilot study. Klin Wochenschr. 1986;64(5):216–218.CrossRefGoogle ScholarPubMed
Noyan Ashraf, MA, Sadeghi, A, Azarbakht, Z, Salehi, S, Hamediseresht, E. Evaluation of intravenous hydrocortisone in reducing headache after spinal anesthesia: A double blind controlled clinical study [corrected]. Middle East J Anaesthesiol. 2007;19(2):415–422.Google ScholarPubMed
Ahmed, S V, Jayawarna, C, Jude, E. Post lumbar puncture headache: Diagnosis and management. Postgrad Med J. 2006;82(973):713–716.CrossRefGoogle ScholarPubMed
Scavone, BM, Wong, CA, Sullivan, JT et al. Efficacy of a prophylactic epidural blood patch in preventing post dural puncture headache in parturients after inadvertent dural puncture. Anesthesiology. 2004;101(6):1422–1427.CrossRefGoogle ScholarPubMed
Safa-Tisseront, V, Thormann, F, Malassiné, P et al. Effectiveness of epidural blood patch in the management of post-dural puncture headache. Anesthesiology. 2001;95(2):334–339.CrossRefGoogle ScholarPubMed
Kroin, JS, Nagalla, SKS, Buvanendran, A et al. The mechanisms of intracranial pressure modulation by epidural blood and other injectates in a postdural puncture rat model. Anesth Analg. 2002;95(2):423–429.CrossRefGoogle Scholar
Booth, JL, Pan, PH, Thomas, JA, Harris, LC, D’Angelo, R. A retrospective review of an epidural blood patch database: The incidence of epidural blood patch associated with obstetric neuraxial anesthetic techniques and the effect of blood volume on efficacy. Int J Obstet Anesth. 2017;29:10–17.CrossRefGoogle ScholarPubMed
Roy-Gash, F, Engrand, N, Lecarpentier, E, Bonnet, MP. Intrathecal hematoma and arachnoiditis mimicking bacterial meningitis after an epidural blood patch. Int J Obstet Anesth. 2017;32:77–81.CrossRefGoogle ScholarPubMed
Rucklidge, M. All patients with a postdural puncture headache should receive an epidural blood patch. Int J Obstet Anesth. 2014;23(2):171–174.CrossRefGoogle ScholarPubMed
Devroe, S, Van de Velde, M, Demaerel, P, Van Calsteren, K. Spinal subdural haematoma after an epidural blood patch. Int J Obstet Anesth. 2015;24(3):288–289.CrossRefGoogle ScholarPubMed
Urits, I, Viswanath, O, Petro, J, Aner, M. Management of dural puncture headache caused by caudal epidural steroid injection. J Clin Anesth. 2019;52:67–68.CrossRefGoogle ScholarPubMed
Paech, MJ, Doherty, DA, Christmas, T, Wong, CA, Epidural blood patch trial group: The volume of blood for epidural blood patch in obstetrics. Anesth Analg. 2011;113(1):126–133.CrossRefGoogle Scholar