Postdural Puncture Headache: An Evidence-Based Approach

Robert R. Gaiser

Research output: Contribution to journalReview articlepeer-review

45 Scopus citations


Headache after dural puncture is a common complication accompanying neuraxial anesthesia. The proposed cause is loss of cerebrospinal fluid through the puncture into the epidural space. Although obstetric patients are at risk for the development of this headache because of female gender and young age, there is a difference in the obstetric population. Women who deliver by cesarean delivery have a lower incidence of headache after dural puncture compared with those who deliver vaginally. Treatment of postdural puncture headache is an epidural blood patch. Departments should develop protocols for management of accidental dural puncture, including appropriate follow-up and indications for further management.

Original languageEnglish
Pages (from-to)157-167
Number of pages11
JournalAnesthesiology Clinics
Issue number1
StatePublished - Mar 1 2017

Bibliographical note

Publisher Copyright:
© 2016 Elsevier Inc.


  • Accidental dural puncture
  • Epidural blood patch
  • Intrathecal catheter
  • Postdural puncture headache

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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