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Wet Tap, Worse Outcomes: Complications Following Post-Dural Puncture Headache

Wanderer, Jonathan P. MD, MPhil; Nathan, Naveen MD

doi: 10.1213/ANE.0000000000004460
Infographics: Infographic

Vanderbilt University School of Medicine (

Northwestern University Feinberg School of Medicine (

Published ahead of print 23 August 2019.

The Infographic is composed by Jonathan P. Wanderer, MD, MPhil, Vanderbilt University School of Medicine (, and Naveen Nathan, MD, Northwestern University Feinberg School of Medicine ( Illustration by Naveen Nathan, MD.

The authors declare no conflicts of interest.

When providing analgesia for childbirth, neuraxial anesthesia can be a safe and extremely effective approach. One of the complications of neuraxial anesthesia is inadvertent dural puncture, which can be further complicated by the development of postdural puncture headaches. While this complication can be effectively treated, the additional sequelae of this complication have not been well explored. In this infographic, we review a study that describes some of the major neurological and other complications that can occur after postdural puncture headaches and the odds of developing these complications compared with patients who have not had a postdural puncture headache.

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1. Guglielminotti J, Landau R, Li G. Major neurologic complications associated with postdural puncture headache in obstetrics: a retrospective cohort study. Anesth Analg. 2019;129:1328–1336
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