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- W4367293041 abstract "Abstract Post-dural puncture headache is a positional bilateral frontal-occipital headache that occurs after the dura is punctured. The etiology is felt to be loss of cerebrospinal fluid resulting in possible sagging of the brain with traction on the dura in the frontal and occipital areas. Factors that increase the risk of the development of a headache after dural puncture include age (younger patients at greater risk), vaginal delivery, and use of a Quincke needle (applies only to spinal anesthesia). Following an accidental dural puncture with an epidural needle, there is no effective means that will prevent the patient from developing a headache, even an intrathecal catheter. Caffeine is not effective for the treatment or the prevention of headache. The best treatment is an epidural blood patch, which involves injecting autologous whole blood in the epidural space. A sphenopalatine block is effective for relieving the symptoms of the headache; it does not treat the etiology." @default.
- W4367293041 created "2023-04-29" @default.
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- W4367293041 date "2023-04-01" @default.
- W4367293041 modified "2023-10-17" @default.
- W4367293041 title "Post-Dural Puncture Headache" @default.
- W4367293041 doi "https://doi.org/10.1093/med/9780197518519.003.0036" @default.
- W4367293041 hasPublicationYear "2023" @default.
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