PDPH - spinal needles

PDPH – Post Dural Puncture Headache

Post dural puncture headache

Spinal anaesthesia developed in the late 1800s with the work of Wynter, Quincke and Corning. However, it was the German surgeon, Karl August Bier in 1898, who probably gave the first spinal anaesthetic. Bier also gained first‐hand experience of the disabling headache related to dural puncture. He correctly surmised that the headache was related to excessive loss of cerebrospinal fluid (CSF). In the last 50 yr, the development of fine‐gauge spinal needles and needle tip modification, has enabled a significant reduction in the incidence of post‐dural puncture headache. Though it is clear that reducing the size of the dural perforation reduces the loss of CSF, there are many areas regarding the pathogenesis, treatment and prevention of post‐dural puncture headache that remain contentious.1

PDPH Presentation

A Video on PDPH and epidural patch (Dr Barbara M Scavone)

PDF Articles on PDPH

International Journal of pain and palliative medicine

Dr PF Kotur’s Article in IJA

St George’s Hospital London Guidelines for PDPH

Dr James Bates Iowa

BJA Article

A very nice tutorial for PG students