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Chronic Headache and Backache are Long-term Sequelae of Unintentional Dural Puncture in the Obstetric Population

Ranganathan, P.; Golfeiz, C.; Phelps, A.L.; Singh, S.; Shnol, H.; Paul, N.; Attaallah, A.F.; Vallejo, M.C.

doi: 10.1097/01.aoa.0000489453.67252.9c
Epidemiologic Reports, Surveys
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Commentary

(J Clin Anesth. 2015;27(3):201–206)

Although unintentional dural puncture (UDP) with an epidural needle and the resulting postdural puncture headache (PDPH) occur in 1% to 5% of patients who undergo neuraxial anesthesia, there are very few studies that have addressed long-term UDP and PDPH sequelae, as parturients with PDPH are not routinely followed for the development of long-term complications. The current study examined the long-term (>6 wk) effects of PDPH by interviewing parturients who had UDP (recognized or unrecognized) associated with labor epidural analgesia.

West Virginia University School of Medicine, Morgantown, WV

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