I enjoyed the extensive review by Dr. Robert Frank on post-dural puncture headaches
(PDPH) (
1
). There are a few additional points I feel are worth mentioning about both the lumbar
puncture itself, and the pharmacologic options available to treat PDPH.To read this article in full you will need to make a payment
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References
- Lumbar puncture and post-dural puncture headaches: implications for the emergency physician.J Emerg Med. 2008; 35: 149-157
Collier BB. Treatment for postdural puncture headache. Br J Anaesth 994;72:366–7.
- ACTH treatment for post-lumbar puncture headaches.Br J Anaesth. 1994; 73: 429
- Use of intravenous cosyntropin for the treatment of postdural puncture headaches.Anesthesia. 2000; 92: 272-274
- Use of intravenous tetracosactin in the treatment of postdural puncture headache: our experience in forty cases.Anesth Analg. 2002; 94: 1369
- Cosyntropin vs. caffeine for post-dural puncture headaches.Acad Emerg Med. 2005; 12: 52-53
- Epidural fibrin glue injection stops persistent postdural puncture headache.Anesthesiology. 1999; 92: 576-577
- In vitro investigation of cerebrospinal fluid leakage after dual puncture with various spinal needles.Anesth Analg. 1998; 87: 1331-1335
- Epidural blood patch: evaluation of the volume and spread of blood injected into the epidural space.Anesthesiology. 1986; 64: 820-822
Article info
Publication history
Published online: March 09, 2009
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Published by Elsevier Inc.
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Access this article on ScienceDirectLinked Article
- Lumbar Puncture and Post-Dural Puncture Headaches: Implications for the Emergency PhysicianJournal of Emergency MedicineVol. 35Issue 2
- PreviewLumbar puncture is a diagnostic procedure commonly performed by emergency physicians. Post-dural puncture headaches occur frequently after this procedure and can be associated with significant morbidity and, occasionally, even death. There is also a lot of variation in how post-dural puncture headaches are treated once they occur. This article seeks to examine the science behind post-dural puncture headaches, their prevention and treatment.
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