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Dural puncture and headache

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Abstract

Accidental durai puncture during attempted epidural catheterisation, and headache following spinal blockade, have both attracted attention in the past decade, the former because it is a potent cause of morbidity, the latter because the reintroduction of atraumatic needles has led to a resurgence of spinal anaesthesia in obstetrics.

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References

  1. Chadwick HS. An analysis of obstetric anesthesia cases from the American Society of Anesthesiologists closed claims project database. International Journal of Obstetric Anesthesia 1996; 5: 258–63

    Article  PubMed  CAS  Google Scholar 

  2. MacArthur C, Lewis M, Knox EG. Accidental durai puncture in obstetric patients and long term symptoms. BMJ 1993; 306: 883–5

    Article  PubMed  CAS  Google Scholar 

  3. Reynolds F. Dural puncture and headache: avoid the first but treat the second. BMJ 1993: 306: 874–6

    Article  PubMed  CAS  Google Scholar 

  4. Kunkle EC, Ray BS, Wolff HC. Experimental studies on headaches, analysis of the headache associated with changes in intracranial pressure. Archives of Neurology and Psychiatry 1943; 49: 323–358

    Article  Google Scholar 

  5. Shah JL. Epidural pressure and postdural puncture headache in the parturient. International Journal of Obstetric Anesthesia 1992; 2: 187–9

    Article  Google Scholar 

  6. Shah JL. Epidural pressure during infusion of saline in the parturient. International Journal of Obstetric Anesthesia 1992; 2: 190–2

    Article  Google Scholar 

  7. Aida S, Taga K, Yamakura T, Endoh H, Shimoji K. Headache after attempted epidural block: the role ofintrathecal air. Anesthesiology 1998; 88: 76–81

    Article  PubMed  CAS  Google Scholar 

  8. Kreitzer JM, Reed AP, Dauro AT, Brodman ML, Bronster DJ. Ascending back pain and headache during attempted epidural placement. J Clin Anesth 1991; 3: 414–7

    Article  PubMed  CAS  Google Scholar 

  9. Rodrigo P, Garcia JM, Ailagas J. [General convulsive crisis related to pneumocephalus after inadvertant dural puncture in an obstetric patient]. [Spanish] Revista Espanola de Anestesiologia y Reanimacion 1997; 44: 247–9

    CAS  Google Scholar 

  10. Weitz SR, Drasner K. Spontaneous intracranial hypotension: a series. Anesthesiology 1996; 85: 923–5

    Article  PubMed  CAS  Google Scholar 

  11. Benzon HT, Nemickas R, Molloy RE, Ahmad S, Melen O, Cohen B. Lumbar and thoracic epidural blood injections to treat spontaneous intracranial hypotension. Anesthesiology 1996; 85: 920–2

    Article  PubMed  CAS  Google Scholar 

  12. Moayeri NN, Henson JW, Schaefer PW, Zervas NT. Spinal durai enhancement on magnetic resonance imaging associated with spontaneous intracranial hypotension. Report of three cases and review of the literature. J Neurosurg 1998; 88: 912–8

    Article  PubMed  CAS  Google Scholar 

  13. Beck CE, Rizk NW, Kiger LT, Spencer D, Hill L, Adler JR. Intracranial hypotension presenting with severe encephalopathy. Case report. J Neurosurg 1998; 8: 470–3

    Google Scholar 

  14. Reynolds F and Speedy H. The subdural space: the third place to go astray. Anaesthesia 1990; 45: 120–3

    Article  PubMed  CAS  Google Scholar 

  15. Hunter GJ, Fogel ST, Holtman B. The recognition and management of accidental durai puncture in obstetric patients. Anesth Analg 1997; 84: 5390

    Google Scholar 

  16. Hadji F, Rao M, Sprigge JS. Post durai puncture headache (PDPH) in obstetric anaesthesia - a 16 year survey of 128 cases (Abstract). International Journal of Obstetric Anesthesia 1999; 8: 197–8

    Google Scholar 

  17. Benhamou D, Hamza J, Ducot B. Post partum headache after epidural analgesia without durai puncture. International Journal of Obstetric Anesthesia 1995; 4: 17–20

    Article  PubMed  CAS  Google Scholar 

  18. Schneider GT, Price CM, Thornberry EA. Postdural puncture headache (PDPH): easily accessible information for the general practitioner (abstract). International Journal of Obstetric Anesthesia 1997; 6: 208

    Google Scholar 

  19. Spencer HC. Post durai puncture headache: what matters in technique. Reg Anesth Pain Med 1998; 23: 374–9

    PubMed  CAS  Google Scholar 

  20. Akpek EA, Karaaslan D, Erol E, Caner H, Kayhan Z. Chronic subdural haematoma following caesarean section under spinal anaesthesia. Anaesth Intensive Care 1999; 27: 206–8

    PubMed  CAS  Google Scholar 

  21. Diemunsch P, Balabaud VP, Petiau C, Marescaux C, Muller A, Valfrey J, Treisser A. Bilateral subdural hematoma following epidural anesthesia. Can J Anaesth 1998; 45: 328–1

    Article  PubMed  CAS  Google Scholar 

  22. Wang LP, Schmidt JF. Central nervous side effects after lumbar puncture. A review of the possible pathogenesis of the syndrome of postdural puncture headache and associated symptoms. Danish Medical Bulletin 1997; 44: 79–81

    PubMed  CAS  Google Scholar 

  23. Viale M, Narchi P, Veyrac P, Benhamou D. Chronic tinnitus and hearing loss caused by cerebrospinal fluid leak treated with success with peridural blood patch. Apropos of 2 cases. Annales d’Oto-Laryngologie et de Chirurgie Cervico-Faciale 1996; 113: 175–7

    PubMed  CAS  Google Scholar 

  24. Carrero EJ, Agusti M, Fabregas N, Valldeoriola F, Fernandez C. Unilateral trigeminal and facial nerve palsies associated with epidural analgesia in labour. Can J Anaesth 1998; 45: 893–7

    Article  PubMed  CAS  Google Scholar 

  25. Shearer VE, Jhaveri HS, Cunningham FG. Puerperal seizures after post-durai puncture headache. Obstet Gynecol 1995; 85: 255–60

    Article  PubMed  CAS  Google Scholar 

  26. Gutche BB. Lumbar epidural analgesia in obstetrics: taps and patches. In epidural and spinal blockade in obstetrics. Ed F Reynolds. London, Bailliere Tindall, 1990, 95–106

    Google Scholar 

  27. Vakharia SB, Thomas PS, Rosenbaum AE, Wasenko JJ, Fellows DG. Magnetic resonance imaging of cerebrospinal fluid leak and tamponade effect of blood patch in postdural puncture headache. Anesth Analg 1997; 84: 585–90

    PubMed  CAS  Google Scholar 

  28. Borum SE, Naul LG, McLeskey CH. Postpartum durai venous sinus thrombosis after postdural puncture headache and epidural blood patch. Anesthesiology 1997; 86: 487–90

    Article  PubMed  CAS  Google Scholar 

  29. Ravindran RS, Zandstra GC, Viegas OJ. Postpartum headache following regional analgesia; a symptom of cerebral venous thrombosis. Can J Anaesth 1989; 36: 705–7

    Article  PubMed  CAS  Google Scholar 

  30. Ariola SE, Russo TO, Marx GF. Postdural puncture headache or incipient eclampsia? International Journal of Obstetric Anesthesia 1991; I: 33–4

    Article  Google Scholar 

  31. Shah JL. Postdural puncture headache and epidural blood patch [letter]. Anesthesiology 1997; 87: 1017–8

    Article  PubMed  CAS  Google Scholar 

  32. Laviola S, Kirvela M, Spoto M-R, Tschuor S, Alon E. Pneumocephalus with intense headache and unilateral pupillary dilatation after accidental durai puncture during epidural anesthesia for cesarean section. Anesth Analg 1999; 88: 582–3

    PubMed  CAS  Google Scholar 

  33. Sansome AJT, Barnes GR, Barrett RF. An unusual presentation of meningitis as a consequence of inadvertent durai puncture. International Journal of Obstetric Anesthesia 1991; 1: 35–7

    Article  PubMed  CAS  Google Scholar 

  34. Shah JL. Severe headache following an epidural top-up. International Journal of Obstetric Anesthesia 1991; 1: 29–31

    Article  PubMed  CAS  Google Scholar 

  35. Cesarini M,Torrielli R, Lahaye F, Mene JM, Cabiro C. Sprotte needle for intrathecal anaesthesia for caesarean section: incidence of postdural puncture headache. Anaesthesia 1990; 45: 656–8

    Article  Google Scholar 

  36. Dakin MJ, Carli F. Post-spinal headaches in parturient women [letter]. Br J Anaesth 1993; 71: 171

    Article  PubMed  CAS  Google Scholar 

  37. Devcic A, Sprung J, Patel S, Kettler R, Maitra-D’Cruze A. PDPH in obstetric anesthesia: comparison of 24-gauge Sprotte and 25-gauge Quincke needles and effect of subarachnoid administration of fentanyl. Reg Anesth 1993; 18: 222–5

    PubMed  CAS  Google Scholar 

  38. Douglas MJ, Ward ME, Campbell DC, Bright SB, Merrick PM. Factors involved in the incidence of post-dural puncture headache with the 25 gauge Whitacre needle for obstetric anesthesia. International Journal of Obstetric Anesthesia 1997; 6: 220–3

    Article  PubMed  CAS  Google Scholar 

  39. Herbstman CFI, Jaffee JB, Tuman KJ, Newman LM. An in vivo evaluation of four spinal needles used for the combined spinal-epidural technique. Anesth Analg 1998; 86: 520–2

    PubMed  CAS  Google Scholar 

  40. Hopkinson JM, Samaan AK, Russell IF, Birks RJS, Patrick MR. A comparative multicentre trial of spinal needles for caesarean section. Anaesthesia 1997; 52: 1005–1011

    Article  PubMed  CAS  Google Scholar 

  41. Jaitly VK, Millns JP. Postdural puncture headache (letter). Anaesthesia 1998; 53: 410–1

    PubMed  CAS  Google Scholar 

  42. Lambert DH, Hurley RJ, Hertwig L, Datta S. Role of needle gauge and tip configuration in the production of lumbar puncture headache. Reg Anesth 1997; 22: 66–72

    Article  PubMed  CAS  Google Scholar 

  43. Landau R, Ciliberto CF, Goodman SR, Kin-LO SH, Smiley RM. Complications with 25G and 27G Whitacre needles during combined spinal-epidural analgesia in labor. Anesthesiology SOAP Suppl; A51

    Google Scholar 

  44. Mayer DC, Quance D, Weeks SK Headache after spinal anesthesia for cesarean section: a comparison of the 27-gauge Quincke and 24-gauge Sprotte needles. Anesth Analg 1992; 75: 377–80

    Article  PubMed  CAS  Google Scholar 

  45. Ross BK, Chadwick HS, Mancuso JJ, Benedetti C. Sprotte needle for obstetric anesthesia: decreased incidence of post durai puncture headache. Reg Anesth 1992; 17: 29–33

    PubMed  CAS  Google Scholar 

  46. Sears DH, Leeman MI, Jassy U, O’Donnell LA, Allen SG, Reisner LS. The frequency of postdural puncture headache in obstetric patients: a prospective study comparing the 24-gauge versus the 22-gauge Sprotte needle. J Clin Anesth 1994; 6: 42–6

    Article  PubMed  CAS  Google Scholar 

  47. Shutt LE, Valentine SJ, Wee MYK, Page RJ, Prosser A, Thomas TA. Caesarean section: comparison of 22-gauge and 25-gauge Whitacre needles with 26-gauge Quincke needles. Br J Anaesth 1992; 69: 589–94

    Article  PubMed  CAS  Google Scholar 

  48. Smith EA, Thorburn J, Duckworth RA, Reid JA. A comparison of 25G and 27G Whitacre needles for caesarean section. Anaesthesia 1994; 49: 859–62

    Article  PubMed  CAS  Google Scholar 

  49. Coe AJ, Guratsky B, Edwards G, Devlin C, Breeze C, Perring G. Comparison of three spinal needles for elective caesarean section. International Journal of Obstetric Anesthesia 1994; 3: 165–6

    Article  PubMed  CAS  Google Scholar 

  50. Flaatten H, Felthaus J, Larsen R, Bernhardsen S, Klausen H. Postural post-dural puncture headache after spinal and epidural anaesthesia. A randomised, double-blind study. Acta Anaesthesiol Scand. 1998; 4: 759–64

    Article  Google Scholar 

  51. Horlocker TT, McGregor DG, Matsushige DK, Schroeder DR, Besse JA. A retrospective review of 4767 consecutive spinal anesthetics: central nervous system complications. Anesth Analg 1997; 84: 578–84

    PubMed  CAS  Google Scholar 

  52. Turner MA, Reifenberg NA. Combined spinal epidural anaesthesia: The single space double barrel technique. International Journal of Obstetric Anesthesia 1995; 4: 158–60

    Article  PubMed  CAS  Google Scholar 

  53. Rajakulendran Y, Rahman S, Vencat N. Long-term neurological complication following traumatic damage to the spinal cord with a 25 gauge Whitacre spinal needle. International Journal of Obstetric Anethesia 1999; 8: 62–6

    Article  CAS  Google Scholar 

  54. Gleeson C, Reynolds F. Accidental durai puncture in UK obstetric practice. International Journal of Obstetric Anesthesia 1998; 7: 242–6

    Article  PubMed  CAS  Google Scholar 

  55. Berger CW, Crosby ET, Grodecki W. North American survey of the management of durai puncture occurring during labour epidural analgesia. Can J Anaesth. 1998; 45: 110–4

    Article  CAS  Google Scholar 

  56. Costigan SN, Sprigge JS. Dural puncture: the patients’ perspective. A patient survey of cases at a DGH maternity unit 1983–1993. Acta Anaesthesiol Scand 1996; 40: 710–4

    Article  PubMed  CAS  Google Scholar 

  57. Huffnagle SL, Norris MC, Arkoosh VA, Huffnagle HJ, Ferouz F, Boxer L, Leighton BL. The influence of epidural needle bevel orientation on spread of sensory blockade in the laboring parturient. Anesth Analg 1998; 8: 326–30

    Google Scholar 

  58. Norris MC, Grieco WM, Borkowski M, Leighton BL, Arkoosh VA, Huffnagle HJ, Huffnagle S. Complications of labor analgesia: epidural versus combined spinal epidural techniques. Anesth Analg 1994; 79: 529–37

    Article  PubMed  CAS  Google Scholar 

  59. Paech MJ, Godkin R, Webster S. Complications of obstetric epidural analgesia and anaesthesia: a prospective analysis of 10995 cases. International Journal of Obstetric Anesthesia 1997; 7: 5–11

    Article  Google Scholar 

  60. Segal S, Tsen LC, Datta S. Intrathecal catheter insertion following unintentional dural puncture reduces the requirement for epidural blood patch. Anesthesiology 1999; SOAP Suppl: A69

    Google Scholar 

  61. Stride PC, Cooper GM. Dural taps revisited. A 20-year survey from the Birmingham maternity Hospital. Anaesthesia 1993; 48: 247–55

    Article  PubMed  CAS  Google Scholar 

  62. Howell TK, Prosser DP, Harmer M. A change in resistance? A survey of epidural practice amongst obstetric anaesthetists. Anaesthesia 1998; 53: 238–43

    Article  PubMed  CAS  Google Scholar 

  63. Valentine SJ, Jarvis AP, Shutt LE. Comparative study of the effects of air or saline to identify the extradural space. Br J Anaesth 1991; 66: 224–7

    Article  PubMed  CAS  Google Scholar 

  64. Ball AJ. An avoidable cause of inadvertent durai puncture [letter] Anaesthesia. 1995; 50: 830–1

    CAS  Google Scholar 

  65. Serpell MG. Avoid dural punctures [letter] Anaesthesia 1996; 51: 203

    CAS  Google Scholar 

  66. Angle PJ, Thompson D, Halpern S, Wilson D. Bearing down in labour increases headache and blood patch after accidental dural puncture. Anesthesology 1999; SOAP Suppl: A77

    Google Scholar 

  67. Sajjad T, Ryan TD. Current management of inadvertent durai taps occurring during the siting of epidurals for pain relief in labour. A survey of maternity units in the United Kingdom. Anaesthesia 1995; 50: 156–61

    Article  PubMed  CAS  Google Scholar 

  68. Trivedi NS, Eddi D, Shevde K Headache prevention following accidental dural puncture in obstetric patients. J Clin Anesth 1993; 5: 42–5

    Article  PubMed  CAS  Google Scholar 

  69. Khan KJ, Stride PC, Cooper GM. Does a bloody tap prevent postdural puncture headache? Anaesthesia 1993; 48: 628–9

    Article  PubMed  CAS  Google Scholar 

  70. Beards SC, Jackson A, Holland J, Horsman EL. Does a bloody tap prevent postdural puncture headache? (letter) Anaesthesia 1993; 48: 1111–2

    PubMed  CAS  Google Scholar 

  71. Hall JM, Hinchliffe D, Levy D. prolonged intrathecal catheterisation after inadvertent dural taps in labour (letter). Anaesthesia 1999; 54: 611–2

    Article  PubMed  CAS  Google Scholar 

  72. Dennehy KC, Rosaeg OP. Intrathecal catheter insertion during labour reduces the risk of postdural puncture headache. Can J Anaesth 1998; 45: 42–5.

    Article  PubMed  CAS  Google Scholar 

  73. Norris MC, Leighton BL. Continuous spinal anesthesia after unintentional durai puncture in parturients. Reg Anesth 1990; 1: 285–7

    Google Scholar 

  74. Cohen S, Amar D, Pantuck EJ, Singer N. Divon M. Decreased incidence of headache after accidental durai puncture in caesarean delivery patients receiving continuous postoperative intrathecal analgesia. Acta Anaesthesiol Scand 1994; 38: 716–8

    Article  PubMed  CAS  Google Scholar 

  75. Blaise GA, Cournoyer S, Perrault C, Bedard MJ, Petit F, Landry D. Spinal catheter does not reduce post-durai puncture headache after caesarean section [letter]. Can J Anaesth 1992; 39: 633–4

    PubMed  CAS  Google Scholar 

  76. Abboud TK, Zhu J, Reyes A. et al. Effect of subarachnoid morphine on the incidence of spinal headache. Reg Anesth 1992; 17: 34–6

    PubMed  CAS  Google Scholar 

  77. Choi A, Laurito CE, Cunningham FE. Pharmacologic management of postdural puncture headache. [Review] Annals of Pharmacotherapy 1996; 30: 831–9

    PubMed  CAS  Google Scholar 

  78. Yucel A, Ozalcin S, Talu GK, Yucel EC, Erdine S. Intravenous administration of caffeine sodium benzoate for postdural puncture headache. Reg Anesth Pain Med 1999; 24: 51–4

    PubMed  CAS  Google Scholar 

  79. Kshatri AM, Foster PA. Adrenocorticotropic hormone infusion as a novel treatment for postdural puncture headache. Reg Anesth 1997; 22: 432–4

    Article  PubMed  CAS  Google Scholar 

  80. Discussion. In: Epidural and spinal blockade in obstetrics. Ed F Reynolds. London, Bailliere Tindall, 1990; p 121

    Google Scholar 

  81. Carp H, Singh PJ, Vadhera R, Jayaram A. Effect of the serotonin-receptor agonist sumatriptan on postdural puncture headache: report of six cases. Anesth Analg 1994; 79: 180–2

    PubMed  CAS  Google Scholar 

  82. Connelly NR, Parker RK, Rahimi A, Gibson C. Sumatriptan in patients with post durai puncture headache Anestheisology 1999; SOAP Suppl: A31

    Google Scholar 

  83. Lhuissier C, Mercier FJ, Dounas M, Benhamou D. Sumatriptan: an alternative to epidural blood patch? (letter) Anaesthesia 1996; 51: 1078

    PubMed  CAS  Google Scholar 

  84. Reynvoet ME, Cosaert PA, Desmet MF, Plasschaert SM. Epidural dextran 40 patch for postdural puncture headache. Anaesthesia 1997; 52: 886–8

    Article  PubMed  CAS  Google Scholar 

  85. Ambesh SP, Kumar A, Bajaj A. Epidural gelatin (Gelfoam) patch treatment for post durai puncture headache. Anaesth Intensive Care 1991; 19: 444–7

    PubMed  CAS  Google Scholar 

  86. Beards SC, Jackson A, Griffiths AG, Horsman EL. Magnetic resonance imaging of epidural blood patches. Appearances from 30 minutes to 18 hours. Br J Anaesth 1993; 71: 182–9

    Article  PubMed  CAS  Google Scholar 

  87. Lybecker H, Andersen T, Helbo-Hansen HS. The effect of epidural blood patch on hearing loss in patients with severe postdural puncture headache. J Clin Anesth 1995; 7: 457–64

    Article  PubMed  CAS  Google Scholar 

  88. Ong BY, Graham CR, Ringaert KR, Cohen MM, Palahniuk RJ. Impaired epidural analgesia after durai puncture with and without subsequent blood patch. Anesth Analg 1990; 70: 76–9

    Article  PubMed  CAS  Google Scholar 

  89. Djurhuus H, Rasmussen M, Jensen EH Epidural blood patch illustrated by CT-epidurography. Acta Anaesthesiol Scand 1995; 39: 613–7.

    Article  PubMed  CAS  Google Scholar 

  90. Williams EJ, Beaulieu P, Fawcett WJ, Jenkins JG. Efficacy of epidural blood patch in the obstetric population. International Journal of Obstetric Anesthesia 1999; 8: 105–9

    Article  PubMed  CAS  Google Scholar 

  91. Ascanio RS, Evans RE, Siegle J, Curry CS. Successful therapeutic epidural blood patch in obstetrics: later rather than sooner. Anesthesiology 1999; SOAP Suppl: A96

    Google Scholar 

  92. Sidebotham D, Willoughby E, Schug SA Late recurrence of postdural puncture headache. Reg Anesth 1997; 22: 382–4

    Article  PubMed  CAS  Google Scholar 

  93. Yentis SM, Haire K. Epidural blood patch for atypical headache following obstetric epidural analgesia. Anaesthesia 1997; 52: 62–4.

    Article  PubMed  CAS  Google Scholar 

  94. Abouleish EI, Rashid S. Successful epidural blood patch 2 years after post-lumbar puncture headaches [letter]. Am J Emerg Med 1995; 13: 683–4.

    Article  PubMed  CAS  Google Scholar 

  95. Morley AP, Messer CP. Failure of repeated blood patch in a parturient with spinal headache. International Journal of Obstetric Anesthesia 1993; 2: 204–6

    Article  PubMed  CAS  Google Scholar 

  96. Oh J, Camann W. Severe acute meningeal irritative reaction after epidural blood patch. Anesth Analg 1998; 87: 1139–40

    PubMed  CAS  Google Scholar 

  97. Tekkok IH, Carter DA, Brinker R. Spinal subdural haematoma as a complication of immediate epidural blood patch. Can J Anaesth 1996; 43: 306–9.

    Article  PubMed  CAS  Google Scholar 

  98. Palmer JH, Wilson DW, Brown CM. Lumbovertebral syndrome after repeat extradural blood patch. Br J Anaesth 1997; 78: 334–6.

    Article  PubMed  CAS  Google Scholar 

  99. Allen DL, Berenger JV, White JB. A potential complication of early blood patching following inadvertent durai puncture. International Journal of Obstetric Anesthesia 1993; 2: 202–3

    Article  PubMed  CAS  Google Scholar 

  100. Newman P, Carrington D, Clarke J. (Proposer) Epidural blood patch is contraindicated in HIV-positive patients. International Journal of Obstetric Anesthesia 1994; 3: 167–8

    Article  PubMed  CAS  Google Scholar 

  101. Shapiro HM. (Opposer) Epidural blood patch is contraindicated in HIV-positive patients. International Journal of Obstetric Anesthesia 1994; 3: 168–9

    Article  PubMed  CAS  Google Scholar 

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Reynolds, F. (2000). Dural puncture and headache. In: Reynolds, F. (eds) Regional Analgesia in Obstetrics. Springer, London. https://doi.org/10.1007/978-1-4471-0435-3_25

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