nach oben

Neurological Sciences

Erschienen in:

30.09.2020 | Review Article

Postdural puncture headache as a complication of lumbar puncture: clinical manifestations, pathophysiology, and treatment

verfasst von: Srdjan Ljubisavljevic

Erschienen in: Neurological Sciences | Ausgabe 12/2020

Einloggen, um Zugang zu erhalten

Abstract

Objective

This manuscript is a narrative review of peer-reviewed studies of postdural puncture headache (PDPH) as the most common complication of a diagnostic and therapeutic lumbar puncture (LP) and LP due to the damage of the dura mater in epidural anesthesia.

Methods

Author searched articles related to the PDPH and its risk factors, pathophysiology diagnosis, differential diagnosis, and therapy. All studies according to the analyzed parameters and their relevance to the clinical practice, as well as quality of the study methods, were selected for further analysis.

Results

The review presents the clinical and paraclinical prediction criteria for the onset, clinical features, course, and efficiency of specific therapeutic interventions which are of a particular clinical benefit for the prevention, pathogenetic treatment, and differential diagnosis of PDPH. The analysis of prediction parameters for the onset, clinical course, and associated symptoms and signs of PDPH is a contribution to the understanding of pathophysiology of intracranial hypotension, since PDPH can be considered a clinical model of intracranial hypotension.

Conclusions

Given that LP is a common procedure in clinical practice, it is necessary to have a comprehensive knowledge of the risk factors, pathophysiological, diagnostic, differentially diagnostic, and therapeutic aspects of PDPH.

Wright BLC, Lai JTF, Sinclair AJ (2012) Cerebrospinal fluid and lumbar puncture: a practical review. J Neurol 259:1530–1545PubMedCrossRef

Sinclair A, Burdon M, Ball A, Nightingale N, Good P, Matthews T, Jacks A, Lawden M, Clarke C, Walker E, Tomlinson J, Stewart P, Rauz S (2010) Low-energy diet and intracranial pressure in women with idiopathic intracranial hypertension: prospective cohort study. BMJ 7:341

Bezov D, Ashina S, Lipton R (2010) Post-dural puncture headache: part ii – prevention, management, and prognosis. Headache 50:1482–1498PubMedCrossRef

Bezov D, Lipton RB, Ashina S (2010) Post-dural puncture headache: part I diagnosis, epidemiology, etiology and pathophysiology. Headache 50:1144–1452PubMedCrossRef

Turnbull DK, Shepherd DB (2003) Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth 91:718–721PubMedCrossRef

Sudlow C, Warlow C (2001) Posture and fluids for preventing post-dural puncture headache. Cochrane Database Syst Rev 2:CD 001790

Williams J, Lye DCB, Umapathi T (2008) Diagnostic lumbar puncture: minimizing complications. Intern Med J 38:587–591PubMedCrossRef

Somri M, Teszler CB, Vaida SJ, Yanovski B, Gaitini D, Tome R, Fradis M, Gaitini LA (2003) Postdural puncture headache: an imaging-guided management protocol. Anesth Analg 96(6):1809–1812PubMedCrossRef

Sachs A, Smiley R (2014) Post-dural puncture headache: the worst common complication in obstetric anesthesia. Semin Perinatol 38:386–394PubMedCrossRef

10.

Kwak KH (2017) Postdural puncture headache. Korean J Anesthesiol 70(2):136–143PubMedPubMedCentralCrossRef

11.

Levine DN, Rapalino O (2001) The pathophysiology of lumbar puncture headache. J Neurol Sci 192(1-2):1–8PubMedCrossRef

12.

Rizzoli P (2013) Taking the sting out of lumbar puncture. BMJ 346:1734CrossRef

13.

Armon C, Evans RW (2005) Addendum to assessment: prevention of postlumbar puncture headaches: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 65(4):510–512PubMedCrossRef

14.

Arevalo-Rodriguez I, Ciapponi A, Munoz L, Roque i Figuls M, Bonfill Cosp X et al (2013) Cochrane Database Syst Rev (7):Cd009199

15.

Mokri B, Atkinson JL, Piepgras DG (2000) Absent headache despite CSF volume depletion (intracranial hypotension). Neurology 55:1722–1724PubMedCrossRef

16.

Frank RL (2008) Lumbar puncture and post-dural puncture headaches: implications for the emergency physician. J Emerg Med 35:149–157PubMedCrossRef

17.

Evans RW, Mokri B (2002) Spontaneous intracranial hypotension resulting in coma. Headache 42:159–160CrossRef

18.

Amorim JA, Valença MM (2008) Postdural puncture headache is a risk factor for new postdural puncture headache. Cephalalgia 28:5–8PubMedCrossRef

19.

Ghatge S, Uppugonduri S, Kamarzaman Z (2008) Cerebral venous sinus thrombosis following accidental dural puncture and epidural blood patch. Int J Obstet Anesth 17:267–270PubMedCrossRef

20.

Rozen T, Swidan S, Hamel R, Saper J (2008) Trendelenburg position: a tool to screen for the presence of a low CSF pressure syndrome in daily headache patients. Headache 48:1366–1371PubMedCrossRef

21.

Nowaczewska M, Ksiazkiewicz B (2012) Cerebral blood flow characteristics in patients with post-lumbar puncture headache. J Neurol 259:665–669PubMedCrossRef

22.

Ljubisavljevic S, Zidverc Trajkovic J, Ignjatovic A, Stojanov A (2020) Parameters related to lumbar puncture do not affect the occurrence of post dural puncture headache but might influence its clinical phenotype. World Neurosurg 133:540–550CrossRef

23.

Lin W, Geiderman J (2002) Medical myth: fluids, bed rest, and caffeine are effective in preventing and treating patients with post-lumbar puncture headache. West J Med 176:69–70PubMedPubMedCentralCrossRef

24.

van de Beek D, Brouwer MC (2018) Atraumatic lumbar puncture needles: practice needs to change. Lancet 391(10126):1128–1129PubMedCrossRef

25.

Kuczkowski KM (2004) Post-dural puncture headache in the obstetric patient: an old problem. New solutions. Minerva Anestesiol 70:823–830PubMed

26.

Amorim JA (2012) Gomes de Barros MV, Valenc MM. Post-dural (post-lumbar) puncture headache: risk factors and clinical features. Cephalalgia 32(12):916–923PubMedCrossRef

27.

Liu H, Kalarickal PL, Rosinia F (2012) A case of paradoxical presentation of postural postdural puncture headache. J Clin Anesth 24:255–256PubMedCrossRef

28.

Mokri B (2004) Low cerebrospinal fluid pressure syndromes. Neurol Clin 22:55–74PubMedCrossRef

29.

Lavi R, Yarnitsky D, Rowe JM, Weissman A, Segal D, Avivi I (2006) Standard vs. atraumatic Whitacre needle for diagnostic lumbar puncture: a randomized trial. Neurology 67:1492–1494PubMedCrossRef

30.

Wu CL, Rowlingson AJ, Cohen SR, Michaels RK, Courpas GE, Joe EM, Liu SS (2006) Gender and post-dural puncture headache. Anesthesiology 105:613–618PubMedCrossRef

31.

Miu M, Paech MJ, Nathan E (2014) The relationship between body mass index and post-dural puncture headache in obstetric patients. Int J Obstet Anesth 23:371–375PubMedCrossRef

32.

Khlebtovsky A, Weitzen S, Steiner I, Kuritzky A, Djaldetti R, Yust-Katz S (2015) Risk factors for post lumbar puncture headache. Clin Neurol Neurosurg 131:78–81PubMedCrossRef

33.

Vilming ST, Kloster R, Sandvik L (2001) The importance of sex, age, needle size, height and body mass index in post-lumbar puncture headache. Cephalalgia 21:738–743PubMedCrossRef

34.

Peralta F, Higgins N, Lange E, Wong CA, McCarthy RJ (2015) The relationship of body mass index with the incidence of postdural puncture headache in parturients. Anesth Analg 121:451–456PubMedCrossRef

35.

Monsalve GA, Ortega R, Rueda-Acevedo M (2006) Multiple dural sinus thrombosis: a differential diagnosis of a postpuncture headache in a puerperal patient. Neurol India 54:447–448PubMedCrossRef

36.

Song J, Choy A, Penaco A, Joseph V (2017) Impact of obesity on post-dural puncture headache. Int J Obstet Anesth 30:5–9PubMedCrossRef

37.

Headache Classification Committee of the International Headache Society (2018) The international classification of headache disorders, 3rd edition. Cephalalgia 38(1):1–211CrossRef

38.

Headache Classification Subcommittee of the International Headache Society (2004) The international classification of headache disorders: 2nd edition. Cephalalgia 24(1):9–160

39.

Ghaleb A (2010) Postdural puncture headache. Anesthesiol Res Pract 2010:102967PubMedPubMedCentral

40.

Stella CL, Jodicke CD, How HY, Harkness UF, Sibai BM (2007) Postpartum headache: is your work-up complete? Am J Obstet Gynecol 196(4):318e1–318e7CrossRef

41.

Kueper M, Goericke SL, Kastrup O (2008) Cerebral venous thrombosis after epidural blood patch: coincidence or causal relation? A case report and review of the literature. Cephalalgia 28:769–773PubMedCrossRef

42.

Ljubisavljevic S, Zidverc Trajkovic J (2020) Postdural puncture headache leads to clinical worsening of preexisting chronic headache. J Clin Neurosci 75C:30–34CrossRef

43.

Kuczkowski KM (2007) The management of accidental dural puncture in pregnant women: what does an obstetrician need to know? Arch Gynecol Obstet 275:125–131PubMedCrossRef

44.

Mokri B (2003) Headaches caused by decreased intracranial pressure: diagnosis and management. Curr Opin Neurol 16:319–326PubMedCrossRef

45.

Straube A, Neudert C, Glas M, Brüning R, Padovan CS (2004) The so-called spontaneous low CSF pressure pressure syndrome. Case results indicating a disturbance in CSF/blood volume regulation. Nervenarzt 75:1194–1199PubMedCrossRef

46.

Ergün U, Say B, Ozer G, Tunc T, Sen M, Tüfekcioglu S, Akin U, Ilhan MN, Inan L (2008) Intravenous theophylline decreases post-dural puncture headaches. J Clin Neurosci 15:1102–1104PubMedCrossRef

47.

Mahoori A, Hassani E, Noroozinia H, Javaheri N, Hatami S (2013) Theophylline versus acetaminophen in the treatment of post dural puncture headache. Middle East J Anesthesiol 22(3):289–292PubMed

48.

Shah P, Thomas S (2007) Post–lumbar puncture headache. Hospital Phys:51–57

49.

Al-Metwalli RR (2008) Epidural morphine injections for prevention of post dural puncture headache. Anaesthesia 63:847–850PubMedCrossRef

50.

Naja Z, Al-Tannir M, El-Rajab M, Ziade F, Baraka A (2009) Nerve stimulator-guided occipital nerve blockade for postdural puncture headache. Pain Pract 9:51–58PubMedCrossRef

51.

Sandesc D, Lupei MI, Sirbu C, Plavat C, Bedreag O, Vernic C (2006) Conventional treatment or epidural blood patch for the treatment of different etiologies of post dural puncture headache. Acta Anaesthesiol Belg 57:55–56

52.

Ho KY, Gan TJ (2007) Management of persistent postdural puncture headache after repeated epidural blood patch. Acta Anaesthesiol Scand 51:633–636PubMedCrossRef

53.

Boonmak P, Boonmak S (2010) Epidural blood patching for preventing and treating post-dural puncture headache. Cochrane Database Syst Rev 1:Cd001791

54.

Apfel CC, Saxena A, Cakmakkaya OS, Gaiser R, George E, Radke O (2010) Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review. Br J Anaesth 105:255–263PubMedCrossRef

55.

Bradbury CL, Singh SI, Badder SR, Wakely LJ, Jones PM (2013) Prevention of post-dural puncture headache in parturients: a systematic review and meta-analysis. Acta Anaesthesiol Scand 57:417–430PubMedCrossRef

Titel: Postdural puncture headache as a complication of lumbar puncture: clinical manifestations, pathophysiology, and treatment
verfasst von: Srdjan Ljubisavljevic
Publikationsdatum: 30.09.2020
Verlag: Springer International Publishing
Erschienen in: Neurological Sciences / Ausgabe 12/2020
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-020-04757-z

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Neurologie

25.04.2024 | Hypotonie | Nachrichten

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Postdural puncture headache as a complication of lumbar puncture: clinical manifestations, pathophysiology, and treatment

Abstract

Objective

Methods

Results

Conclusions

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Frühe Alzheimertherapie lohnt sich

Viel Bewegung in der Parkinsonforschung

Demenzkranke durch Antipsychotika vielfach gefährdet

Update Neurologie

Springer Medizin

Abstract

Objective

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 12/2020

West syndrome: a comprehensive review

Cognitive, neuropsychiatric, and motor profile in post tick-borne flaviviral encephalomyelitis

A waves in electroneurography: differential diagnosis with other late responses

Update on cerebrovascular manifestations of COVID-19

Idiopathic (genetic) generalized epilepsies with absences: clinical and electrographic characteristics and seizure outcome

COVID-19 presenting with agraphia and conduction aphasia in a patient with left-hemisphere ischemic stroke

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Frühe Alzheimertherapie lohnt sich

Viel Bewegung in der Parkinsonforschung

Demenzkranke durch Antipsychotika vielfach gefährdet

Update Neurologie