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European Journal of Pediatrics
Published in: European Journal of Pediatrics 3/2003

01-03-2003 | Review

Post-dural puncture headaches in children. A literature review

Authors: Elke Janssens, Peter Aerssens, Phillipe Alliët, Phillipe Gillis, Marc Raes

Published in: European Journal of Pediatrics | Issue 3/2003

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Abstract

Post-dural puncture headache (PDPH) is a well recognised complication of spinal and epidural anaesthesia. It can also occur after diagnostic or therapeutic lumbar puncture. Few cases have been reported in children. We reviewed the literature regarding definition, aetiology, incidence, risk factors, prevention and treatment, in order to provide some recommendations. Significant factors include age, gender, needle diameter, needle tip design, orientation of the tip during puncture, previous PDPH, history of migraine and repeated attempts to achieve puncture. There is no evidence for the use of increased fluids or bed rest to prevent PDPH. Once the diagnosis is made, conservative therapy is recommended for 48 h. Persistent PDPH can be treated in several ways; an epidural blood patch is one of the most effective methods. Conclusion: occurrence of post-dural puncture headache after lumbar puncture in children is rare. There are conflicting data about risk factors, prevention and treatment.
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Metadata
Title
Post-dural puncture headaches in children. A literature review
Authors
Elke Janssens
Peter Aerssens
Phillipe Alliët
Phillipe Gillis
Marc Raes
Publication date
01-03-2003
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Pediatrics / Issue 3/2003
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-002-1122-6

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