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Doctor insights on: Post Dural Puncture Headache

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Dr. Bennett Machanic
4,291 doctors shared insights

Headache (Definition)

The medical term is cephalalgia. It is a feeling of pain that can occur on either both sides or just one side of the head or neck. Headaches can be sharp, dull, or throbbing, and can radiate to different areas of the head. They typically last less than an hour but can ...Read more


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Can dural puncture from spinal anesthetic for csection cause brain damage? Had the spinal headache for 2 weeks no blood patch. Symptoms were severe.

Can dural puncture from spinal anesthetic for csection cause brain damage? Had the spinal headache for 2 weeks no blood patch. Symptoms were severe.

Dural puncture: Dural puncture cannot cause any brain damage unless there is very high CSF (cerebrospinal fluid) pressure inside the skull (increased icp - intracranial pressure), in which case the skull contents can herniate outside the skull through the foramen magnum (through which the spinal cord exits). This would be an emergency and if you are writing this, you dont have it ! ...Read more

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Can a CSF leak reoccur 2 years after spinal headache during csection?

Can a CSF leak reoccur 2 years after spinal headache during csection?

CSF leak: If a CSF leak is going to occur it is usually within weeks to months, if you are 2 years out while there might still be a risk it would be very low. ...Read more

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Waht are the complications of an inadvertent dural puncture with epidural anesthesia?

Waht are the complications of an inadvertent dural puncture with epidural anesthesia?

Level?: Most frequent complication is spinal headache which can be treated with epidural blood patch. If the epidural placement is above lumbar level, although very low risk, spinal cord can be penetrated, which can cause neuro deficit. If epidural catheter placed and migrates to spinal space severe hypotension or complete spinal can occur and it can require control of the airway until spinal wears off. ...Read more

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Painless dent on scalp after minor trauma, getting sinus/skull xray, had nausea, sinusitis and postnasal drip. Could CSF leak cause the sinusitis?

Unlikely: depends on what you mean by sinusitis. Minor trauma is not likely to result in a CSF leak. If you have one-sided nasal drainage which is clear and salty tasting I recommend you see your doctor. There is a lab test for CSF fluid from the nose (beta-2-transferrin test) which is very accurate. ...Read more

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How long can a lumbar puncture/ spinal tap headache last?

How long can a lumbar puncture/ spinal tap headache last?

Days: Varies, but often can take a few days to completely go away. If the headaches are increasing or accompanied by other symptoms (stiffness, fever, neck pain, etc) you should see the physician that did the spinal sampling. It takes a bit of time to restore the volume of fluid drawn during that time headache (alone) are not uncommon. ...Read more

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If a dura patch leaks post op posterrior fossa decompression, is surgical repair necessary?

If a dura patch leaks post op posterrior fossa decompression, is surgical repair necessary?

Sometimes: Definitely needs to be watched carefully. Sometimes resolves with a spinal drain alone, but sustained leakage through the wound requires re operation. ...Read more

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3 yrs post post. fossa tumor resection, complications included hydrocephalus, SAH, Tons. Herniation. Head still hurts when I cough, valsalva, etc. ???

3 yrs post post. fossa tumor resection, complications included hydrocephalus, SAH, Tons. Herniation. Head still hurts when I cough, valsalva, etc. ???

Probably no issue: You have been through a lot, so not surprising that you would worry, BUT, even though a Valsalva may make head hurt, unlikely at this point, that you are in any danger. If you get dizzy, lose vision, or feel sick when you cough or strain, have an updated MRI just to be safe. ...Read more

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What is cause of a severe positional headache light sensitivity stiffness in neck after microdiscectomy?Small hairline anyerusm on CT scan post op.

What is cause of a severe positional headache light sensitivity stiffness in neck after microdiscectomy?Small hairline anyerusm on CT scan post op.

Have it checked out: You should have this evaluated. Sometimes, there is some cerebrospinal fluid that leaks from the linings over the spine. This can lead to the symptoms of spinal headache that you describe. Not sure if the aneurysm is related to this-particularly if you are talking about a brain aneurysm. ...Read more

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Possible to have CSF leak 3wks post ESI. L4-L5. Bad headache/foggy/no fever/ nauseated/no vomiting.How long does the headache last?4-5 days already.

Possible to have CSF leak 3wks post ESI. L4-L5. Bad headache/foggy/no fever/ nauseated/no vomiting.How long does the headache last?4-5 days already.

Yes possible: Headache (HA) after epidural steroid injection (ESI) rarely occur this late but are possible. Is HA worse when standing/sitting up & less/gone if lying down? Can be associated with nausea, vomiting, dizziness, or visual disturbances. Treatment includes being flat in bed for least 24 hrs, hydration, & analgesics. Since already 4-5 days, I would call physician who did ESI right away. Drink!! ...Read more

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Hubby small avm ruptured-caused diplopia. 3 neurosurgeons haven't linked infant spinal meningitis & plan radiosurgery . Should spinal tap been given?

Hubby small avm ruptured-caused diplopia. 3 neurosurgeons haven't linked infant spinal meningitis & plan radiosurgery . Should spinal tap been given?

No: a spinal tap may worsen the situation due to change in pressure gradient (usually there is some swelling with leaking avm's as free blood is an irritant) Gamma knife surgery makes sense. ...Read more

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Persistant pain at colostomy removal site post reversal. Had severe peritonitis post op?

Persistant pain at colostomy removal site post reversal. Had severe peritonitis post op?

Depends: How long ago was your last surgery? Incision site discomfort can sometimes last for a few months after surgery. See your surgeon for an exam. Sometimes hernias can form at the surgery site. Sometimes there can be prolonged skin nerve discomfort in the scar. ...Read more

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How much cerebro spinal fluid is removed during lumbar puncture ?

How much cerebro spinal fluid is removed during lumbar puncture ?

3-5 cc: Usually routine analysis necessitates between 3 to 5 cc. This is about half a teaspoon to one teaspoon. Some conditions necessitate removing 2 teaspoons and in rare conditions such as hydrocephalus, 20-30 cc may be removed. ...Read more

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Is it possible to have CSF leak 3wks post ESI. L4-L5. Bad headache/foggy/no fever. Painful epidural even with lidocaine before placed. NSAI helps.

Headache after ESI: Post dural puncture headache after 3 weeks LESI very unlikely but possible NSAID are not going to help much Cafergot (ergotamine and caffeine) which has caffeine and ergotamine will be more helpful if there is CSF leak you will need a Epidural Blood Patch contact the MD tha tgave you the LESI treatment ...Read more

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What are the risks associated with epidural anesthesia misplacement/ dural puncture?

What are the risks associated with epidural anesthesia misplacement/ dural puncture?

The risks of epidura: Placed incorrectly include headache, high spinal, intravascular injection, and non-functional epidural. Your anesthesiologist will test the catheter and watch it set up. Most of these concerns will be eliminated at that time. ...Read more

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Neck pain following cough and sore throat. Severe headache following ontop of spinal cord. ?

No it isn't: Leave your spinal cord out of it. Brain and spinal cord are completely devoid of sensory apparatus in their own tissue. Pain sends a message to the brain of actual or potential tissue damage; the CNS gets such messages from everywhere but itself. Your neck is packed tightly with among other things bone, connective tissue & muscle. They are the most common sources of pain, NOT your spinal cord. ...Read more

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Why after lambar puncture procedur the CSF rhinorrhea was stopped ?

May be temporary: By removing fluid, the pressure in the CSF compartment decreases, so the leak may stop for a bit. ...Read more

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How much time does a lumbar puncture/ spinal tap headache last?

How much time does a lumbar puncture/ spinal tap headache last?

Post LP Headache: Post lumbar puncture/spinal tap headaches last until the tiny hole in the dura seals. This can be years but is usually a day or 3. Typically, the cure is to lay flat for 24 hours to keep the pressure low and allow the tiny hole in the dura to heal which it almost always does. Lots of caffeine is helpful too. You may want to call your dr and ask about a blood patch. ...Read more

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I did a brain CT & it showed a frontal CSF hygromas & frontal arachnoid cyst. How serious are these findings I'm suffering from confusion, headaches ?

I did a brain CT & it showed a frontal CSF hygromas & frontal arachnoid cyst.  How serious are these findings I'm suffering from confusion, headaches ?

Hygromas: Hygromas associated with confusion and headaches are usually caused by metabolic or toxic problems in the body. Trauma is less likely. Once the problem is corrected then the hygromas resolve spontaneously. Surgery to drain the hygromas is rare unless there is associated subdural bleeding due to a fall from the confusion or encephalopathy. Discuss these findings with a neurosurgeon. ...Read more