title: Postdural puncture headache: an imaging-guided management protocol.
abstract: We propose an imaging-based algorithm for the management of headache caused by the inadvertent puncture of dura that occurs sporadically during epidural analgesia. Its implementation can identify those postdural puncture headache cases that cannot benefit from epidural blood patches, and their unnecessary application can consequently be avoided.
authors.affiliation: *Department of Anesthesia, Bnai Zion Medical Center; and †Radiology Department, Rambam Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Somri
authors.forename: Christian B
authors.initials: CB
authors.lastname: Teszler
authors.forename: Sonia J
authors.initials: SJ
authors.lastname: Vaida
authors.forename: Boris
authors.initials: B
authors.lastname: Yanovski
authors.forename: Diana
authors.initials: D
authors.lastname: Gaitini
authors.forename: Riad
authors.initials: R
authors.lastname: Tome
authors.forename: Milo
authors.initials: M
authors.lastname: Fradis
authors.forename: Luis A
authors.initials: LA
authors.lastname: Gaitini
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects; D000773:Anesthesia, Obstetrical / Q000009:adverse effects; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001921:Brain / Q000000981:diagnostic imaging; D014695:Cerebral Ventriculography; D002985:Clinical Protocols; D005260:Female; D006261:Headache / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D007278:Injections, Spinal; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000628:therapy; D011247:Pregnancy; D013129:Spinal Puncture / Q000009:adverse effects*; D013256:Steroids; D014057:Tomography, X-Ray Computed
chemical_list: D000893:Anti-Inflammatory Agents; D013256:Steroids