Resumen

CORREA PADILLA, Jorge Miguel. Headache after a dural puncture in obstetric patient. Rev Cubana Obstet Ginecol [online]. 2012, vol.38, n.2, pp.256-268. ISSN 0138-600X.

The lumbar puncture (LP) or dural puncture consist of to pass a needle through the dura mater until the subarachnoid space, which is full of cerebrospinal fluid (CSF). Whenever the dura mater or the arachnoid be punctured, the patients are in risk of to develop headache post dural puncture (HPDP). The aim of present study was to update on the causes, diagnosis, prevention and treatment of this type of puncture. The HPDP behaves likes a bilateral headache developed at 5 days post lumbar puncture and disappear at a week. The headache happens or worse in standing position and disappear or improve after lye down; there are modifiable and non modifiable factors to prevent its appearance: the treatment includes prophylaxis up to specific measures which include conservative and invasive treatment. The HPDP continues being a problem after a neuroaxial anesthesia where the leading cause is the loss of CSF and its prevention it is no easy.

Palabras clave : Dural post-puncture headache; lumbar puncture; obstetric anesthesia.

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