Why Don’t All Individuals Who Undergo Dura Mater/Arachnoid Puncture Develop Postdural Puncture Headache?

Sex‐ and Age‐Related Differences in the Clinical and Neuroimaging Characteristics of Patients With Spontaneous Intracranial Hypotension: A Records Review

“…Clinical observations provide the basis for one interesting hypothesis. For instance, stopping of CSF leakage caused by lumbar puncture needle hole requires a few hours . Such a small needle‐hole CSF leakage will be promoted by motion of the spinal joints and will increase, resulting in completed PLPH .…”

Incidence and management of post-dural puncture headache following spinal anaesthesia and accidental dural puncture from a non-obstetric hospital: A retrospective analysis

“…In vitro study, using a model of human dura mater, has demonstrated a smaller loss of CSF when the needle was inserted using the para-median approach when compared to midline approach. [ 23 ] We did not find any difference in incidence of headache with respect to approach to epidural space (midline or para median) and also with respect to gender, start of oral feeds, and the time to ambulate. Similar to available literature, we found an increase incidence of PDPH in 20–40 age group.…”

Acute Subdural Haemorrhage as a Complication of Diagnostic Lumbar Puncture

“…The case readmitted with a headache, which is very common post-LP, however, post-lumbar puncture headache (PLPH) has a more benign, regressive course and responds well to analgesic and caffeine. The mechanism for PLPH is not fully understood, but continued CSF leakage, leading to a reduction in CSF pressure, is often blamed [7][8]. The international headache society (IHS) has developed a list of criteria to help differentiate PDPH from other, more serious, complications of dural puncture like SDH ( Table 1) [9].…”