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April 1, 1990Anesthesia & Analgesia

Incidence and Prediction of Postdural Puncture Headache A Prospective Study of 1021 Spinal Anesthesias

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Why the study?

What are the significant predictors of postdural puncture headache in patients undergoing spinal anesthesia?

Population

873 consecutive patients undergoing a total of 1021 spinal anesthesias

Design

Cohort

Authors

HLH LybeckerOdense University HospitalJLJakob T. M llerOdense University HospitalOMOle MayAarhus University

Discussion

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Overview

May inform PDPH risk stratification in spinal anesthesia; leaves open prospective validation of modifiable factors.

Structured PICO

What are the significant predictors of postdural puncture headache in patients undergoing spinal anesthesia?

P
Population
873 consecutive patients undergoing a total of 1021 spinal anesthesias
I
Intervention
Spinal anesthesia (assessment of predictors including age, sex, needle size, number of attempted dural punctures, needle bevel direction, duration of postoperative recumbency, and previous PDPH)
O
Outcome
Incidence of postdural puncture headache (PDPH)safety

Age, needle bevel direction, and a history of previous PDPH are significant predictors of postdural puncture headache, which can help anesthetists predict risk and choose acceptable age limits for spinal anesthesia.

Cite This Study

Lybecker et al. (1990) studied this question.

synapsesocial.com/papers/6a80039cc48c717e4deea2b6https://doi.org/10.1213/00000539-199004000-00008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Post-dural Puncture Headache: Pathophysiology, Risk Stratification, Prevention, and Evidence-Based Management for Practicing Anesthesiologists2026
  2. 2The Relationship Between Age and The Incidence of Post Dural Puncture Headache in Post Sectio Caesarea Patients with Spinal Anesthesia2024
  3. 3The Impact of Spinal Needle Selection on Postdural Puncture Headache: A Meta-Analysis and Metaregression of Randomized Studies2019 · 33 citations
  4. 4Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study2024
  5. 5Post Dural Puncture Headache pada Spinal Anestesi2025