PDPH
Also written as: PDPH — Post-Dural Puncture Headache
Post-dural puncture headache caused by cerebrospinal fluid leak following inadvertent or intentional dural puncture during neuraxial procedures.
Full Definition
Post-dural puncture headache (PDPH) is a significant complication that can occur following spinal anesthesia or accidental dural puncture during epidural placement. The condition results from cerebrospinal fluid leakage through the dural puncture site, causing characteristic positional headaches that worsen when upright and improve when lying flat. PDPH typically develops within 24-48 hours post-procedure and is accompanied by symptoms such as neck stiffness, nausea, and auditory disturbances. Risk factors include young age, female gender, pregnancy, and larger needle sizes. Treatment ranges from conservative management with bed rest and hydration to more invasive interventions such as epidural blood patch for severe or persistent cases.
Usage
Usage note: Always document onset time and severity when PDPH is diagnosed.
In Context
- "The patient developed PDPH 24 hours post-delivery following accidental dural puncture during epidural placement." — Complication report
- "Epidural blood patch was performed for refractory PDPH with complete resolution of symptoms." — Follow-up procedure note