title: [Prospective studies on the pathologic mechanism of post-spinal headache in a select group of patients (author's transl)].
abstract: In this prospective study 613 patients on whom a total of 783 spinal anaesthetics had been performed, all for urological operations, were questioned and examined. Subjective complaints occured in 102 cases (13%) and were found to be more frequent amongst the female patients. 23 cases (2.9%) developed a typical post-spinal headache, this being more likely to occur if the patient was a woman, was young, and if a 22-Gauge needle was used. The headache usually began on getting up on the day of operation or the first post-operative day, and rarely lasted longer than four days. The pathophysiological changes indicate that the headache is caused by a fall in CSF pressure. The therapy and various methods of preventing this complication are discussed, and the other potential neurological symptoms and signs mentioned.
mesh_terms: D000328:Adult; D000368:Aged; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D002045:Bupivacaine; D002555:Cerebrospinal Fluid; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011312:Pressure
chemical_list: D002045:Bupivacaine
vernacular_title: Prospektive untersuchungen zum pathomechanismus des postspinalen kopfschmerzes an einem ausgewählten krankengut.