Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
GARCIA RODRIGUEZ, Ariadna et al. Headache as a result of dural puncture. Rev Ciencias Médicas [online]. 2005, vol.9, n.1, pp. 51-60. ISSN 1561-3194.
A review of the most updated literature on dural post-puncture headache was made at Abel Santamaría University Hospital in February - June 2004 aimed at spreading the awareness to health professionals at diagnosing and treating this condition. The headache secondary to dural puncture is caused by the persistent leakage of cerebrospinal fluid through the dura tear because of the needle insertion; it presents when the patient adopts the erect position and it alleviates with the supine position; if this characteristic is not present it may appear some doubts on diagnosis. The selection of a fine trocar for puncture and guiding the bevel parallel to the fibers of dura are the main factors for profilaxis of headache. Its treatment is controversial, but it does exist a consensus in that the epidural blood patch is the definitive treatment for this condition.
Keywords : HEADACHE; SPINAL PUNCTURE; complications.