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Post dural puncture headache

MedGen UID:
199603
•Concept ID:
C0751188
•
Sign or Symptom
Synonyms: Headache, Post-Dural Puncture; Headache, Postdural Puncture; Headaches, Post-Dural Puncture; Headaches, Postdural Puncture; Post Dural Puncture Headache; Post-Dural Puncture Headache; Post-Dural Puncture Headaches; Postdural Puncture Headache; Postdural Puncture Headaches
SNOMED CT: Post-dural puncture headache (230479008); Post dural puncture headache (230479008); PDPH - Post dural puncture headache (230479008)

Definition

A secondary headache disorder attributed to low CEREBROSPINAL FLUID pressure caused by SPINAL PUNCTURE, usually after dural or lumbar puncture. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPost dural puncture headache

Professional guidelines

PubMed

Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report from a multisociety international working group.
Uppal V, Russell R, Sondekoppam RV, Ansari J, Baber Z, Chen Y, DelPizzo K, Dirzu DS, Kalagara H, Kissoon NR, Kranz PG, Leffert L, Lim G, Lobo C, Lucas DN, Moka E, Rodriguez SE, Sehmbi H, Vallejo MC, Volk T, Narouze S
Reg Anesth Pain Med 2024 Jul 8;49(7):471-501. doi: 10.1136/rapm-2023-104817. PMID: 37582578
Post-dural puncture headache diagnosis and management.
Vallejo MC, Zakowski MI
Best Pract Res Clin Anaesthesiol 2022 May;36(1):179-189. Epub 2022 Jan 25 doi: 10.1016/j.bpa.2022.01.002. PMID: 35659954
Intrathecal catheter use after accidental dural puncture in obstetric patients: literature review and clinical management recommendations.
Orbach-Zinger S, Jadon A, Lucas DN, Sia AT, Tsen LC, Van de Velde M, Heesen M
Anaesthesia 2021 Aug;76(8):1111-1121. Epub 2021 Jan 21 doi: 10.1111/anae.15390. PMID: 33476424

Recent clinical studies

Etiology

Postdural Puncture Headache-Risks and Current Treatment.
Li H, Wang Y, Oprea AD, Li J
Curr Pain Headache Rep 2022 Jun;26(6):441-452. Epub 2022 Mar 30 doi: 10.1007/s11916-022-01041-x. PMID: 35353358
Preventing Post-Lumbar Puncture Headache.
Cognat E, Koehl B, Lilamand M, Goutagny S, Belbachir A, de Charentenay L, Guiddir T, Zetlaoui P, Roos C, Paquet C
Ann Emerg Med 2021 Sep;78(3):443-450. Epub 2021 May 7 doi: 10.1016/j.annemergmed.2021.02.019. PMID: 33966935
A Comprehensive Update on the Treatment and Management of Postdural Puncture Headache.
Patel R, Urits I, Orhurhu V, Orhurhu MS, Peck J, Ohuabunwa E, Sikorski A, Mehrabani A, Manchikanti L, Kaye AD, Kaye RJ, Helmstetter JA, Viswanath O
Curr Pain Headache Rep 2020 Apr 22;24(6):24. doi: 10.1007/s11916-020-00860-0. PMID: 32323013
Posture and fluids for preventing post-dural puncture headache.
Arevalo-Rodriguez I, Ciapponi A, Roqué i Figuls M, Muñoz L, Bonfill Cosp X
Cochrane Database Syst Rev 2016 Mar 7;3(3):CD009199. doi: 10.1002/14651858.CD009199.pub3. PMID: 26950232Free PMC Article
Drug therapy for treating post-dural puncture headache.
Basurto Ona X, Osorio D, Bonfill Cosp X
Cochrane Database Syst Rev 2015 Jul 15;2015(7):CD007887. doi: 10.1002/14651858.CD007887.pub3. PMID: 26176166Free PMC Article

Diagnosis

Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report.
Uppal V, Russell R, Sondekoppam R, Ansari J, Baber Z, Chen Y, DelPizzo K, Dîrzu DS, Kalagara H, Kissoon NR, Kranz PG, Leffert L, Lim G, Lobo CA, Lucas DN, Moka E, Rodriguez SE, Sehmbi H, Vallejo MC, Volk T, Narouze S
JAMA Netw Open 2023 Aug 1;6(8):e2325387. doi: 10.1001/jamanetworkopen.2023.25387. PMID: 37581893
Epidural blood patch: A narrative review.
Zetlaoui PJ, Buchheit T, Benhamou D
Anaesth Crit Care Pain Med 2022 Oct;41(5):101138. Epub 2022 Aug 2 doi: 10.1016/j.accpm.2022.101138. PMID: 35952552
Post-dural puncture headache diagnosis and management.
Vallejo MC, Zakowski MI
Best Pract Res Clin Anaesthesiol 2022 May;36(1):179-189. Epub 2022 Jan 25 doi: 10.1016/j.bpa.2022.01.002. PMID: 35659954
A Comprehensive Update on the Treatment and Management of Postdural Puncture Headache.
Patel R, Urits I, Orhurhu V, Orhurhu MS, Peck J, Ohuabunwa E, Sikorski A, Mehrabani A, Manchikanti L, Kaye AD, Kaye RJ, Helmstetter JA, Viswanath O
Curr Pain Headache Rep 2020 Apr 22;24(6):24. doi: 10.1007/s11916-020-00860-0. PMID: 32323013
Posture and fluids for preventing post-dural puncture headache.
Arevalo-Rodriguez I, Ciapponi A, Roqué i Figuls M, Muñoz L, Bonfill Cosp X
Cochrane Database Syst Rev 2016 Mar 7;3(3):CD009199. doi: 10.1002/14651858.CD009199.pub3. PMID: 26950232Free PMC Article

Therapy

Post-dural puncture headache diagnosis and management.
Vallejo MC, Zakowski MI
Best Pract Res Clin Anaesthesiol 2022 May;36(1):179-189. Epub 2022 Jan 25 doi: 10.1016/j.bpa.2022.01.002. PMID: 35659954
Postdural Puncture Headache-Risks and Current Treatment.
Li H, Wang Y, Oprea AD, Li J
Curr Pain Headache Rep 2022 Jun;26(6):441-452. Epub 2022 Mar 30 doi: 10.1007/s11916-022-01041-x. PMID: 35353358
Preventing Post-Lumbar Puncture Headache.
Cognat E, Koehl B, Lilamand M, Goutagny S, Belbachir A, de Charentenay L, Guiddir T, Zetlaoui P, Roos C, Paquet C
Ann Emerg Med 2021 Sep;78(3):443-450. Epub 2021 May 7 doi: 10.1016/j.annemergmed.2021.02.019. PMID: 33966935
Post-dural puncture headache.
Buddeberg BS, Bandschapp O, Girard T
Minerva Anestesiol 2019 May;85(5):543-553. Epub 2019 Jan 4 doi: 10.23736/S0375-9393.18.13331-1. PMID: 30621376
Posture and fluids for preventing post-dural puncture headache.
Arevalo-Rodriguez I, Ciapponi A, Roqué i Figuls M, Muñoz L, Bonfill Cosp X
Cochrane Database Syst Rev 2016 Mar 7;3(3):CD009199. doi: 10.1002/14651858.CD009199.pub3. PMID: 26950232Free PMC Article

Prognosis

Etiology, management, and sequela of postdural puncture headache.
Taraskiewicz D, Sheeran J, De Marco P, Tiouririne M, Elkassabany N
Curr Opin Anaesthesiol 2023 Oct 1;36(5):565-571. Epub 2023 Jul 6 doi: 10.1097/ACO.0000000000001286. PMID: 37552012
Postdural puncture headache: Revisited.
Schyns-van den Berg AMJV, Gupta A
Best Pract Res Clin Anaesthesiol 2023 Jun;37(2):171-187. Epub 2023 Mar 6 doi: 10.1016/j.bpa.2023.02.006. PMID: 37321765
Postdural puncture headache as a complication of lumbar puncture: clinical manifestations, pathophysiology, and treatment.
Ljubisavljevic S
Neurol Sci 2020 Dec;41(12):3563-3568. Epub 2020 Sep 30 doi: 10.1007/s10072-020-04757-z. PMID: 32997283
Post-lumbar puncture headache.
Alstadhaug KB, Odeh F, Baloch FK, Berg DH, Salvesen R
Tidsskr Nor Laegeforen 2012 Apr 17;132(7):818-21. doi: 10.4045/tidsskr.11.0832. PMID: 22511093
Post-dural puncture headache: part I diagnosis, epidemiology, etiology, and pathophysiology.
Bezov D, Lipton RB, Ashina S
Headache 2010 Jul;50(7):1144-52. Epub 2010 Jun 1 doi: 10.1111/j.1526-4610.2010.01699.x. PMID: 20533959

Clinical prediction guides

Postdural puncture headache: Revisited.
Schyns-van den Berg AMJV, Gupta A
Best Pract Res Clin Anaesthesiol 2023 Jun;37(2):171-187. Epub 2023 Mar 6 doi: 10.1016/j.bpa.2023.02.006. PMID: 37321765
Role of Greater Occipital Nerve Block in Headache Disorders: A Narrative Review.
Chowdhury D, Datta D, Mundra A
Neurol India 2021 Mar-Apr;69(Supplement):S228-S256. doi: 10.4103/0028-3886.315993. PMID: 34003170
Addition of Neostigmine and Atropine to Conventional Management of Postdural Puncture Headache: A Randomized Controlled Trial.
Abdelaal Ahmed Mahmoud A, Mansour AZ, Yassin HM, Hussein HA, Kamal AM, Elayashy M, Elemady MF, Elkady HW, Mahmoud HE, Cusack B, Hosny H, Abdelhaq M
Anesth Analg 2018 Dec;127(6):1434-1439. doi: 10.1213/ANE.0000000000003734. PMID: 30169405
Drug therapy for treating post-dural puncture headache.
Basurto Ona X, Osorio D, Bonfill Cosp X
Cochrane Database Syst Rev 2015 Jul 15;2015(7):CD007887. doi: 10.1002/14651858.CD007887.pub3. PMID: 26176166Free PMC Article
Combined spinal-epidural versus epidural analgesia in labour.
Simmons SW, Taghizadeh N, Dennis AT, Hughes D, Cyna AM
Cochrane Database Syst Rev 2012 Oct 17;10(10):CD003401. doi: 10.1002/14651858.CD003401.pub3. PMID: 23076897Free PMC Article

Recent systematic reviews

The association between post-dural puncture headache and needle type during spinal anaesthesia: a systematic review and network meta-analysis.
Maranhao B, Liu M, Palanisamy A, Monks DT, Singh PM
Anaesthesia 2021 Aug;76(8):1098-1110. Epub 2020 Dec 17 doi: 10.1111/anae.15320. PMID: 33332606
Epidural corticosteroid injections for lumbosacral radicular pain.
Oliveira CB, Maher CG, Ferreira ML, Hancock MJ, Oliveira VC, McLachlan AJ, Koes BW, Ferreira PH, Cohen SP, Pinto RZ
Cochrane Database Syst Rev 2020 Apr 9;4(4):CD013577. doi: 10.1002/14651858.CD013577. PMID: 32271952Free PMC Article
Posture and fluids for preventing post-dural puncture headache.
Arevalo-Rodriguez I, Ciapponi A, Roqué i Figuls M, Muñoz L, Bonfill Cosp X
Cochrane Database Syst Rev 2016 Mar 7;3(3):CD009199. doi: 10.1002/14651858.CD009199.pub3. PMID: 26950232Free PMC Article
Drug therapy for treating post-dural puncture headache.
Basurto Ona X, Osorio D, Bonfill Cosp X
Cochrane Database Syst Rev 2015 Jul 15;2015(7):CD007887. doi: 10.1002/14651858.CD007887.pub3. PMID: 26176166Free PMC Article
Combined spinal-epidural versus epidural analgesia in labour.
Simmons SW, Taghizadeh N, Dennis AT, Hughes D, Cyna AM
Cochrane Database Syst Rev 2012 Oct 17;10(10):CD003401. doi: 10.1002/14651858.CD003401.pub3. PMID: 23076897Free PMC Article

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