Any news on the postdural puncture headache front?

Feyce Peralta; Sarah Devroe

doi:10.1016/j.bpa.2017.04.002

Any news on the postdural puncture headache front?

Best Pract Res Clin Anaesthesiol. 2017 Mar;31(1):35-47. doi: 10.1016/j.bpa.2017.04.002. Epub 2017 Apr 15.

Authors

Feyce Peralta¹, Sarah Devroe²

Affiliations

¹ 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.
² Department of Anesthesiology, University Hospitals of the KU Leuven, Herestraat 49, 3000 Leuven, Belgium. Electronic address: sarah.devroe@uzleuven.be.

PMID: 28625304
DOI: 10.1016/j.bpa.2017.04.002

Abstract

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. 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.

Keywords: epidural blood patch; positional headache; postdural puncture headache; subdural hematoma.

Publication types

Review

MeSH terms

Cranial Nerve Diseases / etiology
Female
Headache Disorders / etiology
Hearing Loss / etiology
Hematoma, Subdural / etiology
Humans
Labor, Obstetric
Post-Dural Puncture Headache / diagnosis
Post-Dural Puncture Headache / etiology*
Post-Dural Puncture Headache / prevention & control
Pregnancy
Risk Factors