New approaches and therapeutic options for post-dural puncture headache treatment

  • Juliana Caicedo Salazar Clínica Comfamiliar. Risaralda, Colombia. http://orcid.org/0000-0002-5338-9035
  • Ángela María Ríos Medina a. Clínica Comfamiliar. Risaralda, Colombia. b. Liga Contra el Cáncer. Risaralda, Colombia. c. Universidad de Caldas. Manizales, Colombia.
Keywords: Post-dural puncture headache, Epidural blood patch, Sphenopalatine ganglion, Greater occipital nerve, Nerve block

Abstract

Post-dural puncture headache (PDPH) is a frequent complication in neuraxial approaches. It may result in disability, healthcare dissatisfaction and potentially serious complications. The traditional initial management includes general and analgesia measures with poor evidence. The treatment approach best supported by the literature is the epidural blood patch for which rates of up 70% improvement have been reported. Regional techniques have been recently described that may be helpful because they are less invasive than the epidural blood patch, under certain clinical circumstances. This article suggests an algorithm that uses such techniques for the management of this complication.

References

Gaiser RR. Postdural puncture headache: An evidence-based approach. Anesthesiol Clin. 2017;35(1):157-67. doi: http://doi.org/10.1016/j.anclin.2016.09.013.

Thew M, Paech MJ. Management of postdural puncture headache in the obstetric patient. Curr Opin Anaesthesiol. 2008;21(3):288-92. doi: http://doi.org/10.1016/10.1097/ACO.0b013e3282f8e21a.

Nath S, Koziarz A, Badhiwala JH, et al. Atraumatic versus conventional lumbar puncture needles: a systematic review and meta-analysis. Lancet. 2018;391(10126):1197-204. doi: http://doi.org/10.1016/10.1016/S0140-6736(17)32451-0

Bedoya-Jaramillo TM, Trespalacios EMV, Vasco-Ramírez M. Postdural puncture headache with cutting spinal needle vs pencil point spinal needle: Systematic review. Rev Chil Anest. 2020;49(1):92-102. doi: http://doi.org/10.1016/10.25237/revchilanestv49n01.07

Katz D, Beilin Y. Review of the alternatives to epidural blood patch for treatment of postdural puncture headache in the parturient. Anesth Analg. 2017;124(4):1219-28. doi: http://doi.org/10.1016/10.1213/ANE.0000000000001840

Peralta F, Devroe S. Any news on the postdural puncture headache front? Best Pract Res Clin Anaesthesiol. 2017;31(1):35-47. doi: http://doi.org/10.1016/10.1016/j.bpa.2017.04.002

Olesen J, Bes A, Kunkel R, Lance JW, Nappi G, Pfaffenrath V, et al. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629-808. doi: http://doi.org/10.1016/10.1177/0333102413485658

Russell R, Laxton C, Lucas DN, Niewiarowski J, Scrutton M, Stocks G. Treatment of obstetric post-dural puncture headache. Part 1: conservative and pharmacological management. Int J Obstet Anesth. 2019;38:93-103. doi: http://doi.org/10.1016/10.1016/j.ijoa.2018.12.006

Cuypers V, Van de Velde M, Devroe S. Intracranial subdural haematoma following neuraxial anaesthesia in the obstetric population: a literature review with analysis of 56 reported cases. Int J Obstet Anesth. 2016;25:58-65. doi: http://doi.org/10.1016/10.1016/j.ijoa.2015.09.003

Arévalo-Rodríguez I, Ciapponi A, Muñoz L, Roqué i Figuls M, Bonfill Cosp X. Posture and fluids for preventing post-dural puncture headache. Cochrane Database Syst Rev. 2013;(7):CD009199. doi: http://doi.org/10.1016/10.1002/14651858.CD009199.pub2

Moore AR, Wieczorek PM, Carvalho JCA. Association between post-dural puncture headache after neuraxial anesthesia in childbirth and intracranial subdural hematoma [published online ahead of print, 2019 Sep 16]. JAMA Neurol. 2019;77(1):65-72. doi: http://doi.org/10.1016/10.1001/jamaneurol.2019.2995

Russell R, Laxton C, Lucas DN, Niewiarowski J, Scrutton M, Stocks G. Treatment of obstetric post-dural puncture headache. Part 2: epidural blood patch. Int J Obstet Anesth. 2019;38:104-18. doi: http://doi.org/10.1016/10.1016/j.ijoa.2018.12.005

Apfel CC, Saxena A, Cakmakkaya OS, Gaiser R, George E, Radke O. Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review. Br J Anaesth. 2010;105(3):255-63. doi: http://doi.org/10.1016/10.1093/bja/aeq191

Bradbury CL, Singh SI, Badder SR, Wakely LJ, Jones PM. Prevention of post-dural puncture headache in parturients: a systematic review and meta-analysis. Acta Anaesthesiol Scand. 2013;57(4):417-30. doi: http://doi.org/10.1016/10.1111/aas.12047

Xavier J, Pinho S, Silva J, et al. Postdural puncture headache in the obstetric population: a new approach? Reg Anesth Pain Med. 2020;45(5):373-6. doi: http://doi.org/10.1016/10.1136/rapm-2019-101053

Akyol F, Binici O, Kuyrukluyildiz U, Karabakan G. Ultrasound-guided bilateral greater occipital nerve block for the treatment of post-dural puncture headache. Pak J Med Sci. 2015;31(1):111-5. doi: http://doi.org/10.1016/10.12669/pjms.311.5759

Niraj G, Kelkar A, Girotra V. Greater occipital nerve block for postdural puncture headache (PDPH): a prospective audit of a modified guideline for the management of PDPH and review of the literature. J Clin Anesth. 2014;26(7):539-44. doi: http://doi.org/10.1016/10.1016/j.jclinane.2014.03.006

Sola C, Dadure C, Choquet O, Capdevila X. New York School of Regional Anesthesia NYSORA. [Internet]. 2020. [citado: 2020 ago. 14]. Disponible en: https://www.nysora.com/techniques/head-and-neck-blocks/nerve-blocks-face/

Nair AS, Kodisharapu PK, Anne P, Saifuddin MS, Asiel C, Rayani BK. Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review. Korean J Pain. 2018;31(2):80-6. doi: http://doi.org/10.1016/10.3344/kjp.2018.31.2.80

Nair AS, Rayani BK. Sphenopalatine ganglion block for relieving postdural puncture headache: technique and mechanism of action of block with a narrative review of efficacy. Korean J Pain. 2017;30(2):93-7. doi: http://doi.org/10.1016/10.3344/kjp.2017.30.2.93

Cardoso JM, Sá M, Graça R, et al. Bloqueio do ganglio esfenopalatino para cefaleia pós‐punção dural em contexto de ambulatório [Sphenopalatine ganglion block for postdural puncture headache in ambulatory setting]. Rev Bras Anestesiol. 2017;67(3):311-3. doi: http://doi.org/10.1016/10.1016/j.bjan.2017.02.003

How to Cite
1.
Caicedo Salazar J, Ríos Medina Ángela M. New approaches and therapeutic options for post-dural puncture headache treatment. Colomb. J. Anesthesiol. [Internet]. 2020Oct.22 [cited 2020Dec.5];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/951

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Published
2020-10-22
How to Cite
1.
Caicedo Salazar J, Ríos Medina Ángela M. New approaches and therapeutic options for post-dural puncture headache treatment. Colomb. J. Anesthesiol. [Internet]. 2020Oct.22 [cited 2020Dec.5];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/951
Section
Narrative review