Post-Dural Puncture Headache: Part I Diagnosis, Epidemiology, Etiology, and Pathophysiology
(Headache 2010;50:1144‐1152) Post‐dural puncture headache (PDPH) is a frequent complication of dural puncture whether performed for diagnostic purposes or accidentally, as a complication of anesthesia. Because both procedures are common, clinicians interested in headache should be familiar with this...
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description | (Headache 2010;50:1144‐1152)
Post‐dural puncture headache (PDPH) is a frequent complication of dural puncture whether performed for diagnostic purposes or accidentally, as a complication of anesthesia. Because both procedures are common, clinicians interested in headache should be familiar with this entity. The differential diagnosis of PDPH is broad and includes other complications of dural puncture as well as headaches attributable to the condition which lead to the procedure. The patterns of development of PDPH depend on a number of procedure‐ and nonprocedure‐related risk factors. Knowledge of procedure‐related factors supports interventions designed to reduce the incidence of PDPH. Finally, despite best preventive efforts, PDPH may still occur and be associated with significant morbidity. Therefore, it is important to know the management and prognosis of this disorder. In this review, we will highlight diagnosis and clinical characteristics of PDPH, differential diagnosis, frequency, and risk factors as well as pathophysiology of PDPH. |
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Post‐dural puncture headache (PDPH) is a frequent complication of dural puncture whether performed for diagnostic purposes or accidentally, as a complication of anesthesia. Because both procedures are common, clinicians interested in headache should be familiar with this entity. The differential diagnosis of PDPH is broad and includes other complications of dural puncture as well as headaches attributable to the condition which lead to the procedure. The patterns of development of PDPH depend on a number of procedure‐ and nonprocedure‐related risk factors. Knowledge of procedure‐related factors supports interventions designed to reduce the incidence of PDPH. Finally, despite best preventive efforts, PDPH may still occur and be associated with significant morbidity. Therefore, it is important to know the management and prognosis of this disorder. In this review, we will highlight diagnosis and clinical characteristics of PDPH, differential diagnosis, frequency, and risk factors as well as pathophysiology of PDPH.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1111/j.1526-4610.2010.01699.x</identifier><identifier>PMID: 20533959</identifier><identifier>CODEN: HEADAE</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Biological and medical sciences ; Cerebrospinal Fluid Pressure - physiology ; Diagnosis, Differential ; epidemiology ; etiology ; Headache ; Headache - diagnosis ; Headache - epidemiology ; Headache - physiopathology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Headaches ; Humans ; Intracranial Hypotension - complications ; Intracranial Hypotension - epidemiology ; Intracranial Hypotension - physiopathology ; lumbar puncture ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; pathophysiology ; post-dural puncture ; Risk Factors ; Spinal Puncture - adverse effects ; Subarachnoid Space - anatomy & histology ; Subarachnoid Space - physiology ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Headache, 2010-07, Vol.50 (7), p.1144-1152</ispartof><rights>2010 American Headache Society</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5969-c392b85b482c2c23bdd215ede0790d1a2a145bbabb74a3099d2eab6f2a515b1f3</citedby><cites>FETCH-LOGICAL-c5969-c392b85b482c2c23bdd215ede0790d1a2a145bbabb74a3099d2eab6f2a515b1f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1526-4610.2010.01699.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1526-4610.2010.01699.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23079101$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20533959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bezov, David</creatorcontrib><creatorcontrib>Lipton, Richard B.</creatorcontrib><creatorcontrib>Ashina, Sait</creatorcontrib><title>Post-Dural Puncture Headache: Part I Diagnosis, Epidemiology, Etiology, and Pathophysiology</title><title>Headache</title><addtitle>Headache</addtitle><description>(Headache 2010;50:1144‐1152)
Post‐dural puncture headache (PDPH) is a frequent complication of dural puncture whether performed for diagnostic purposes or accidentally, as a complication of anesthesia. Because both procedures are common, clinicians interested in headache should be familiar with this entity. The differential diagnosis of PDPH is broad and includes other complications of dural puncture as well as headaches attributable to the condition which lead to the procedure. The patterns of development of PDPH depend on a number of procedure‐ and nonprocedure‐related risk factors. Knowledge of procedure‐related factors supports interventions designed to reduce the incidence of PDPH. Finally, despite best preventive efforts, PDPH may still occur and be associated with significant morbidity. Therefore, it is important to know the management and prognosis of this disorder. In this review, we will highlight diagnosis and clinical characteristics of PDPH, differential diagnosis, frequency, and risk factors as well as pathophysiology of PDPH.</description><subject>Biological and medical sciences</subject><subject>Cerebrospinal Fluid Pressure - physiology</subject><subject>Diagnosis, Differential</subject><subject>epidemiology</subject><subject>etiology</subject><subject>Headache</subject><subject>Headache - diagnosis</subject><subject>Headache - epidemiology</subject><subject>Headache - physiopathology</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Headaches</subject><subject>Humans</subject><subject>Intracranial Hypotension - complications</subject><subject>Intracranial Hypotension - epidemiology</subject><subject>Intracranial Hypotension - physiopathology</subject><subject>lumbar puncture</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>pathophysiology</subject><subject>post-dural puncture</subject><subject>Risk Factors</subject><subject>Spinal Puncture - adverse effects</subject><subject>Subarachnoid Space - anatomy & histology</subject><subject>Subarachnoid Space - physiology</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkd-LEzEQx4MoXq_6L8iCiPfg1vzOxgfhaOv1sJxFFEEfQpLNXre33a3JLrb_vVm3V8EHNYFkMvnMZDJfABIEJyiO15sJYpinlEcHhnGBiEs52T8Ao9PFQzCCEIk0EzQ7A-chbCCElEv-GJxhyAiRTI7At1UT2nTWeV0lq662beddsnA613bt3iQr7dvkOpmV-rZuQhleJfNdmbtt2VTN7SGe2ntL13mk23WzWx_C4HwCHhW6Cu7pcR-Dz-_mn6aLdPnh6np6uUwtk1ymlkhsMmZohm2cxOQ5RszlDgoJc6SxRpQZo40RVBMoZY6dNrzAmiFmUEHG4OWQd-eb750LrdqWwbqq0rVruqAEo5kQkpB_k4RCyCnnkbz4K4kYh4jEPrKIPv8D3TSdr-OPI0UjJiETkcoGyvomBO8KtfPlVvuDQlD1oqqN6rVTvXaqF1X9ElXtY-iz4wOd2br8FHivYgReHAEdrK4Kr2tbht8ciZ1EsdwxeDtwP8rKHf67ALWYX856MyZIhwRlaN3-lED7O8UFEUx9ublSy483779OsYzd_AmgVcpJ</recordid><startdate>201007</startdate><enddate>201007</enddate><creator>Bezov, David</creator><creator>Lipton, Richard B.</creator><creator>Ashina, Sait</creator><general>Blackwell Publishing Inc</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201007</creationdate><title>Post-Dural Puncture Headache: Part I Diagnosis, Epidemiology, Etiology, and Pathophysiology</title><author>Bezov, David ; Lipton, Richard B. ; Ashina, Sait</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5969-c392b85b482c2c23bdd215ede0790d1a2a145bbabb74a3099d2eab6f2a515b1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Cerebrospinal Fluid Pressure - physiology</topic><topic>Diagnosis, Differential</topic><topic>epidemiology</topic><topic>etiology</topic><topic>Headache</topic><topic>Headache - diagnosis</topic><topic>Headache - epidemiology</topic><topic>Headache - physiopathology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Headaches</topic><topic>Humans</topic><topic>Intracranial Hypotension - complications</topic><topic>Intracranial Hypotension - epidemiology</topic><topic>Intracranial Hypotension - physiopathology</topic><topic>lumbar puncture</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>pathophysiology</topic><topic>post-dural puncture</topic><topic>Risk Factors</topic><topic>Spinal Puncture - adverse effects</topic><topic>Subarachnoid Space - anatomy & histology</topic><topic>Subarachnoid Space - physiology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bezov, David</creatorcontrib><creatorcontrib>Lipton, Richard B.</creatorcontrib><creatorcontrib>Ashina, Sait</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bezov, David</au><au>Lipton, Richard B.</au><au>Ashina, Sait</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-Dural Puncture Headache: Part I Diagnosis, Epidemiology, Etiology, and Pathophysiology</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>2010-07</date><risdate>2010</risdate><volume>50</volume><issue>7</issue><spage>1144</spage><epage>1152</epage><pages>1144-1152</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><coden>HEADAE</coden><abstract>(Headache 2010;50:1144‐1152)
Post‐dural puncture headache (PDPH) is a frequent complication of dural puncture whether performed for diagnostic purposes or accidentally, as a complication of anesthesia. Because both procedures are common, clinicians interested in headache should be familiar with this entity. The differential diagnosis of PDPH is broad and includes other complications of dural puncture as well as headaches attributable to the condition which lead to the procedure. The patterns of development of PDPH depend on a number of procedure‐ and nonprocedure‐related risk factors. Knowledge of procedure‐related factors supports interventions designed to reduce the incidence of PDPH. Finally, despite best preventive efforts, PDPH may still occur and be associated with significant morbidity. Therefore, it is important to know the management and prognosis of this disorder. In this review, we will highlight diagnosis and clinical characteristics of PDPH, differential diagnosis, frequency, and risk factors as well as pathophysiology of PDPH.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>20533959</pmid><doi>10.1111/j.1526-4610.2010.01699.x</doi><tpages>9</tpages></addata></record> |
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subjects | Biological and medical sciences Cerebrospinal Fluid Pressure - physiology Diagnosis, Differential epidemiology etiology Headache Headache - diagnosis Headache - epidemiology Headache - physiopathology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Headaches Humans Intracranial Hypotension - complications Intracranial Hypotension - epidemiology Intracranial Hypotension - physiopathology lumbar puncture Medical sciences Nervous system (semeiology, syndromes) Neurology pathophysiology post-dural puncture Risk Factors Spinal Puncture - adverse effects Subarachnoid Space - anatomy & histology Subarachnoid Space - physiology Vascular diseases and vascular malformations of the nervous system |
title | Post-Dural Puncture Headache: Part I Diagnosis, Epidemiology, Etiology, and Pathophysiology |
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