Postdural puncture headache: an imaging-guided management protocol.
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.
Somri
Mostafa
M
*Department of Anesthesia, Bnai Zion Medical Center; and †Radiology Department, Rambam Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Teszler
Christian B
CB
Vaida
Sonia J
SJ
Yanovski
Boris
B
Gaitini
Diana
D
Tome
Riad
R
Fradis
Milo
M
Gaitini
Luis A
LA
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
D000893:Anti-Inflammatory Agents; D013256:Steroids