| Title |
Popunkcinis galvos skausmas: nauji gydymo metodai ir terapinės galimybės / |
| Translation of Title |
Postdural puncture headache: new approaches and therapeutic options. |
| Authors |
Navakauskaitė, Aistė |
| DOI |
10.53453/ms.2024.1.4 |
| Full Text |
|
| Is Part of |
Medicinos mokslai = Journal of medical sciences.. Kėdainiai : VšĮ Lietuvos sveikatos mokslinių tyrimų centras. 2024, t. 12, Nr. 1, p. 25-31.. eISSN 2345-0592 |
| Keywords [eng] |
postdural puncutre headache ; epidural blood patch ; lumbar puncture ; spinal anesthesia |
| Abstract [eng] |
Background. Postdural puncture headache is a possible neuroaxial anesthesia complication. The incidence of postdural headache varies from 10 to 40 % depending on age, gender and needle size. The headache is usually positional (increases in an upright position, relieved by lying down) and is often accompanied by pain spreading to the neck and shoulders, nausea or photophobia. Aim. The purpose of this study was to evaluate the scientific literature about postdural headache, summarize the most effective treatment measures and overview new approaches and therapeutic options for postdural puncture headache. Materials and methods. During the literature review, a search for scientific articles was performed in PubMed, ScienceDirect and Google Scholar. Included articles, which were written in English between 2003 – 2023. Results. The diagnosis is usually indicated by a known or possible dural puncture. Symptoms onset is delayed but occurring within 48 hours. The most typical symptom is bilateral postural headache. Diagnosis of postdural puncture headache is clinical, laboratory and imaging tests are usually not necessary. Risk factors include female gender, young age, pregnancy, vaginal delivery and low body mass index. Postdural puncture headache usually begins within 3 days after dural puncture and resolves spontaneously within 1 week or 48 hours if an epidural blood patch is used for treatment. Conclusion. Postdural puncture headache is a well-known and common complication of dural puncture in clinical practice, which is more common in younger patients and women. The most effective treatment method for postdural puncture headache is an epidural blood patch. |
| Published |
Kėdainiai : VšĮ Lietuvos sveikatos mokslinių tyrimų centras |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2024 |
| CC license |
|
