Post-dural puncture headache: Part II - Prevention, management, and prognosis

David Bezov, Sait Ashina, Richard B. Lipton

Research output: Contribution to journalArticle

76 Citations (Scopus)

Abstract

Post-dural puncture headache (PDPH) is a frequent complication of lumbar puncture, performed for diagnostic or therapeutic purposes or accidentally, as a complication of epidural anesthesia. As PDPH can be disabling, clinicians who perform these procedures should be familiar with strategies for preventing this disorder. Since the best preventative measures sometimes fail, clinicians should also be familiar with the therapeutic approaches for PDPH. Herein, we review the procedure-related risk factors for PDPH, the prognosis of PDPH and the studies of PDPH treatment. We divide the therapeutic approach to PDPH into 4 stages: conservative management, aggressive medical management, conventional invasive treatments, and the very rarely employed less conventional invasive treatments and provide management algorithm to facilitate treatment.

Original languageEnglish (US)
Pages (from-to)1482-1498
Number of pages17
JournalHeadache
Volume50
Issue number9
DOIs
StatePublished - Oct 2010

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Post-Dural Puncture Headache
Therapeutics
Spinal Puncture
Epidural Anesthesia

Keywords

  • post-dural puncture headache prevention
  • post-dural puncture prognosis
  • post-dural puncture treatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Post-dural puncture headache : Part II - Prevention, management, and prognosis. / Bezov, David; Ashina, Sait; Lipton, Richard B.

In: Headache, Vol. 50, No. 9, 10.2010, p. 1482-1498.

Research output: Contribution to journalArticle

Bezov, David ; Ashina, Sait ; Lipton, Richard B. / Post-dural puncture headache : Part II - Prevention, management, and prognosis. In: Headache. 2010 ; Vol. 50, No. 9. pp. 1482-1498.
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