Post-dural (post-lumbar) puncture headache: Risk factors and clinical features
| Autor: | Jane Auxiliadora Amorim, Marcelo Moraes Valença, Mauro Virgílio Gomes de Barros |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cross-sectional study Spinal Puncture Young Adult Risk Factors medicine Humans Binary logistic regression analysis Child Aged medicine.diagnostic_test Lumbar puncture business.industry Spinal anesthesia General Medicine Middle Aged Surgery Cross-Sectional Studies Anesthesia Female Neurology (clinical) Post-Dural Puncture Headache business Post-Lumbar Puncture Headache |
| Zdroj: | Cephalalgia. 32:916-923 |
| ISSN: | 1468-2982 0333-1024 |
| DOI: | 10.1177/0333102412453951 |
| Popis: | Objective: This is an analytic, interventional, cross sectional study to evaluate the risk factors of post-dural (post-lumbar) puncture headache (PDPH) and the validity of the diagnostic criteria for PDPH from the ICHD II. Methods: Six-hundred-and-forty patients (332 non-pregnant women and 308 men) aged 8–65 years underwent spinal anesthesia with Quincke 25G or 27G needles in elective surgery. Results: Forty-eight (7.5%) of the patients developed PDPH. The binary logistic regression analysis identified as risk factors: gender [11.1% female vs. 3.6% male, OR 2.25 (1.07–4.73); p = 0.03], age [11.0% 31–50 years of age vs. 4.2% others, OR 2.21 (1.12–4.36); p = 0.02], previous history of PDPH [26.4% positive vs. 6.2% negative, OR 4.30 (1.99–9.31); p Conclusion: In conclusion, 14/48 patients (29%) suffered none of the above-mentioned symptoms, indicating that a significant number of patients may suffer from PDPH in the absence of any symptoms apart from the headache itself. This suggests that a further analyses of existing studies should be made to determine if a criteria change may need consideration. |
| Databáze: | OpenAIRE |
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