Abstract
Post dural puncture headache (PDPH) is a common complication of interventional neuraxial procedures. It carries a considerable morbidity with symptoms lasting for several days, sometimes severe enough to immobilise the patient. If left untreated it can result in serious complication which may be fatal. It is therefore important that the doctors should aware of the methods available for reducing the incidence of PDPH. This article reviews the scientific literature involved in the management of PDPH including the epidural blood patch.
Highlights
Headache is a complication of lumbar puncture that has been known for well over a century
Post dural puncture headache can occur as a result of diagnostic lumbar puncture, spinal anaesthesia and unintentional dural puncture while performing epidural anaesthesia3
There are some studies concluded that IV caffeine is an effective therapy for post dural puncture headache but still a well designed clinical study is needed to demonstrate the efficacy of oral route
Summary
Headache is a complication of lumbar puncture that has been known for well over a century. The syndrome of post dural puncture headache was described by Dr August Beir[1]. Lumbar puncture is known as spinal puncture, involving passing a needle through the wall of the dural sac into the subarachnoid space which contains cerebrospinal fluid in the lumbar region[2]. Post dural puncture headache can occur as a result of diagnostic lumbar puncture, spinal anaesthesia and unintentional dural puncture while performing epidural anaesthesia. Headache is a common sequale of this procedure irrespective of the indication. PDPH is an important cause of iatrogenic morbidity following a lumbar puncture
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