2023
DOI: 10.17085/apm.23082
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Treatment of postural headache occurred 26 days after spinal pain procedure - A case report -

Seoyoung Park,
Yun-Hee Lim,
Byung Hoon Yoo

Abstract: Background: Cerebrospinal fluid (CSF) leakage may cause intracranial hypotension and postural headache. Secondary intracranial hypotension may result from an iatrogenic dural puncture or traumatic injury associated with pain procedures.Case: A 45-year-old man developed a headache 26 days after spinal pain procedure. Headache was characterized as postural, worsening with standing or sitting and improving while lying down. The pain did not resolve despite the administration of oral and intravenous analgesics. A … Show more

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“…It is estimated that PDPH may affect up to 40% of patients who undergo a diagnostic or therapeutic lumbar puncture (LP) [6,7]. The time correlation between the LP and the occurrence of orthostatic headache usually helps to establish the diagnosis, although there are interesting case reports of PDPH with extended latencies [8,9]. Risk factors for PDPH include female gender, age 30-50, a previous history of this type of headache, and an orientation of the needle bevel perpendicular to the long axis of the spinal column during the LP [4].…”
Section: E a D I N G T O P I Cmentioning
confidence: 99%
“…It is estimated that PDPH may affect up to 40% of patients who undergo a diagnostic or therapeutic lumbar puncture (LP) [6,7]. The time correlation between the LP and the occurrence of orthostatic headache usually helps to establish the diagnosis, although there are interesting case reports of PDPH with extended latencies [8,9]. Risk factors for PDPH include female gender, age 30-50, a previous history of this type of headache, and an orientation of the needle bevel perpendicular to the long axis of the spinal column during the LP [4].…”
Section: E a D I N G T O P I Cmentioning
confidence: 99%