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Postdural punkturhovedpine

Andreas Ravn1, Louise Feldborg Lyckhage2 & Rigmor Jensen3 1) Hjertemedicinsk Afdeling, Vejle Sygehus 2) Neurologisk Afdeling, Sjællands Universitetshospital, Roskilde 3) Dansk Hovedpinecenter, Neurologisk Klinik, Rigshospitalet-Glostrup Ugeskr Læger 2018;180:V10170805
Ugeskr Læger 2018;180:V10170805
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Post-dural puncture headache
Post-dural puncture headache (PDPH) is a frequent complication to procedures involving dural puncture. The condition is caused by excessive leakage of cerebrospinal fluid through the puncture, and it is most often seen in young women. The risk can be significantly reduced by using smaller, atraumatic needles. PDPH is characterised by a dull headache, which worsens in postural position. Usually, PDPH is a self-limiting condition, which resolves within a week with conservative treatment, but it may become chronic. Treatment with epidural blood patch is effective both in acute and chronic stages of PDPH.
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