Post-dural puncture headaches in children. A literature review

@article{Janssens2002PostduralPH,
  title={Post-dural puncture headaches in children. A literature review},
  author={Elke Janssens and Peter Aerssens and Phillipe Alli{\"e}t and Phillipe Gillis and Marc Raes},
  journal={European Journal of Pediatrics},
  year={2002},
  volume={162},
  pages={117-121}
}
Post-dural puncture headache (PDPH) is a well recognised complication of spinal and epidural anaesthesia. It can also occur after diagnostic or therapeutic lumbar puncture. Few cases have been reported in children. We reviewed the literature regarding definition, aetiology, incidence, risk factors, prevention and treatment, in order to provide some recommendations. Significant factors include age, gender, needle diameter, needle tip design, orientation of the tip during puncture, previous PDPH… 

Posture and fluids for preventing post-dural puncture headache.

TLDR
This review identified randomized controlled trials that compared the effects of bed rest versus immediate mobilization, head-down tilt versus horizontal position, prone versus supine positions during bed rest, and administration of supplementary fluids versus no/less supplementation, as prevention measures for PDPH in people who have undergone lumbar puncture.

Post dural puncture headache in children: A report of two cases

TLDR
It is concluded that now a days spinal anesthesia is being used in children and PDPH can occur in this population which can be treated on same lines as in adults.

Prevention and Management of Post–Lumbar Puncture Headache in Pediatric Oncology Patients

  • Livia LeeM. SennettJ. Erickson
  • Medicine
    Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
  • 2007
TLDR
The pathophysiology and incidence of headaches related to lumbar punctures in the pediatric oncology setting is outlined and the evidence from research trials is reviewed to suggest which interventions clinicians should adopt into their practice to minimize this complication.

Post‐Dural Puncture Headache: Part II – Prevention, Management, and Prognosis

TLDR
The therapeutic approach to PDPH is divided into 4 stages: conservative management, aggressive medical management, conventional invasive treatments, and the very rarely employed less conventional invasive treatment and management algorithm to facilitate treatment is provided.

A study for post-diagnostic lumbar puncture headache in children

TLDR
Post-diagnostic lumbar puncture headache in children was more common than other studies, and previous headache history and cell count in CSF are the factors that influence this occurrence.

Post-Dural Puncture Headache is Uncommon in Young Ambulatory Surgery Patients

TLDR
There was a low overall incidence of post-dural puncture headache among patients aged 15–45 and pre-planned subgroup analyses of PDPH incidence by age group revealed a high risk of P DPH among a small sample of 15–19-year-olds.

Needle gauge and tip designs for preventing post-dural puncture headache (PDPH).

TLDR
The main outcome was prevention of PDPH, but there is moderate-quality evidence that atraumatic needles reduce the risk of post-dural puncture headache without increasing adverse events.

A study for headaches and backaches occurrence after diagnostic lumbar puncture in children

TLDR
Following lumbar puncture, headaches were common in patients over age 10, and lasted longer when the bevel orientation of the puncture needle was inserted toward the cranium rather than laterally.

Factors Predisposing to Post Dural Puncture Headache in Children

TLDR
The risk factors for postdural puncture headache in a pediatric cohort varied from risk factors that are classically implicated in adults.
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References

SHOWING 1-10 OF 51 REFERENCES

Postdural puncture headache: a literature review.

This is a review of literature from 1943 to mid-1989 on the postdural puncture headache. The article looks at the currently held thoughts on the cause, prevention, and treatments of this second most

Postdural puncture headache: a literature review.

This is a review of literature from 1943 to mid-1989 on the postdural puncture headache. The article looks at the currently held thoughts on the cause, prevention, and treatments of this second most

Headaches after diagnostic dural punctures

TLDR
Aetiology of the headache from the dural puncture is most likely related to the hole left in the dura after the needle has been withdrawn, which allows the cerebrospinal fluid to leak out of the subarachnoid space, which depletes the “cushion” of fluid supporting the brain and its sensitive meningovascular covering, resulting in gravitational traction and the classic headache.

A rational approach to the cause, prevention and treatment of postdural puncture headache.

  • G. Morewood
  • Medicine
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
  • 1993
TLDR
The rate of PDPH after lumbar puncture can be minimized through strict attention to technique and the employment of a 25-gauge needle with the bevel parallel to the dural fibres.

A rational approach to the cause, prevention and treatment of postdural puncture headache

TLDR
The rate of PDPH after lumbar puncture can be minimized through strict attention to technique and the employment of a 25-gauge needle with the bevel parallel to the dural fibres.

Repeated Dural Punctures Increase the Incidence of Postdural Puncture Headache

TLDR
It is concluded that increased risk of PDPH is a disadvantage of performing a second subarachnoid injection of local anesthetics after a failed spinal anesthetic, and this result suggests that leakage of CSF through the dural tear is the most plausible cause of P DPH.

Postdural Puncture Headache in Pediatric Oncology Patients

TLDR
Children with a history of headache following a previous LP were nine times as likely to experience PDPH, a predisposing factor for development of postdural puncture headache in children after lumbar puncture.

Lumbar puncture needn't be a headache

TLDR
Headache afterwards is the commonest complication, occurring in over 30% of patients when a 20 G bevelled needle is used, and usually lasts one to two days but may be more prolonged.

[Headaches after spinal anesthesia: prospective multicenter study of a young adult population].

TLDR
The indications of spinal anaesthesia could be extended to young patients, whatever their gender, using a non-traumatic 24-gauge Sprotte needle, which was associated with a low rate of puncture difficulties.

Sprotte Needle for Obstetric Anesthesia: Decreased Incidence of Post Dural Puncture Headache

TLDR
The data indicate that the Sprotte spinal needle, with its non-cutting tip, results in a significantly lower incidence of PDPH than Quincke cutting-tip needles of smaller gauge.
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