Post spinal headache lasts for -
Ans. is 'c' i.e., 10 days o Post dural puncture headache is due to CSF leak. Typical location is bifrontal or occipital,o Headache gets worsen on sitting or upright posture and is relieved by lying down position and abdominal pressure - The hallmark of postdural puncture headache i.e.. association with body position,o The onset of headache is usually 12-72 hours following the procedure, however, it may be seen almost immediately. In most cases it lasts for 7-10 days.o PDPH is believed to result from leakage of CSF from a dural defect and decreased ICT. Loss ofCSF ata rate faster that it can be produced causes traction on structure supporting the brain, particularly dura and tentorium. Traction on cranial nerve (particularly 6th nerve) produces diplopia,o Factors that increase the incidence of PDPH art young age, female sex, Pregnancy, large bore needle and multiple punctures.o Use of small bore needle can prevent PDPH .o Intially conservative treatment is given which includes analgesics (NSAIDs), oral or i.v., fluids, Sumatriptan, cosyntropin, caffeine and recumbent position.o If conservative treatment fails, epidural blood patch can be used. It involves injecting 15-20 ml of autologus blood into the epidural space which stop leakage of CSF by coagulation and mass effect.
10 min
1 hrs
10 days
1 week
Complications Of Anaesthesia