Montefiore Hospital - Neurology, New York, NY, USA.
Headache. 2010 Jul;50(7):1144-52. doi: 10.1111/j.1526-4610.2010.01699.x. Epub 2010 Jun 1.
Post-dural puncture headache (PDPH) is a frequent complication of dural puncture whether performed for diagnostic purposes or accidentally, as a complication of anesthesia. Because both procedures are common, clinicians interested in headache should be familiar with this entity. The differential diagnosis of PDPH is broad and includes other complications of dural puncture as well as headaches attributable to the condition which lead to the procedure. The patterns of development of PDPH depend on a number of procedure- and nonprocedure-related risk factors. Knowledge of procedure-related factors supports interventions designed to reduce the incidence of PDPH. Finally, despite best preventive efforts, PDPH may still occur and be associated with significant morbidity. Therefore, it is important to know the management and prognosis of this disorder. In this review, we will highlight diagnosis and clinical characteristics of PDPH, differential diagnosis, frequency, and risk factors as well as pathophysiology of PDPH.
硬脊膜穿刺后头痛 (PDPH) 是硬脊膜穿刺的常见并发症，无论是出于诊断目的还是意外，如麻醉并发症。由于这两种操作都很常见，对头痛感兴趣的临床医生应该熟悉这种情况。PDPH 的鉴别诊断范围很广，包括硬脊膜穿刺的其他并发症以及因导致该操作的病症而引起的头痛。PDPH 的发展模式取决于许多与操作相关和非操作相关的风险因素。对操作相关因素的了解支持旨在降低 PDPH 发生率的干预措施。最后，尽管采取了最佳的预防措施，PDPH 仍可能发生并导致显著的发病率。因此，了解这种疾病的管理和预后非常重要。在这篇综述中，我们将重点介绍 PDPH 的诊断和临床特征、鉴别诊断、频率和危险因素以及 PDPH 的病理生理学。
