uPDATE IN POsT-DuRAl PuNCTuRE HEADACHE: THE DO's AND DON'Ts?

Post-Dural Puncture headache (PDPh) is a well-known complication of intended dural puncture (anesthesia, diagnostic), catheterization (anesthesia, neurosurgery, pain therapy, oncology) or inadvertent dural puncture (epidural anesthesia, surgical). while anesthesiologists have anticipated this problem by using needles of smaller size and special design and radiologists have abandoned myelography, neurologists still have continued to use large bore Quincke needles. Although the symptoms, preventive and treatment options are known for many years, some aspects may deserve special attention. Despite a tremendous amount of reports and reviews, the present contribution will mainly focus upon publications of the last five years while others will not be older than 10 years.

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