Title: Comparison of Incidence of Post-Dural Puncture Headache (PDPH) in Patients Undergoing Lower Uterine Segment Caesarean Section (LSCS) among Different Batches of Residents
Authors: Dr Prajnyananda Das, Dr Bimal Krushna Panda, Dr Devi Prasad Mishra
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.155
Abstract
Introduction
Spinal anesthesia seems to be particularly well suited for caesarean section because of simplicity of procedure and rapid onset of dense block. However, post-dural puncture headache has remained a well-recognized complication. Post-dural puncture headache (PDPH) was first described by August Bier in 1898 and classically presents as a postural headache following therapeutic or diagnostic interventions of the epidural or spinal space1. The overall incidence of post-duralpucture headache varies from 0.1%-36%. It may be mild, moderate or severe and debilitating headache, and may be associated with neurological symptoms. 60% of PDPHs will begin within 2 days of having adural puncture, 90% within 3 days, though it may occur up to 14 days later2. Classically PDPH is a bilateral fronto-occipital headache, radiating to the neck and shoulders, exacerbated within 15 minutes of standing or sitting, is aggravated by coughing or straining and is alleviated within 30 minutes of recumbency, and further so by lying prone.3,4
