There is no evidence that bed rest is beneficial in the treatment and prevention of postdural puncture (Level 1 evidence (cochrane review))
The incidence of postdural puncture headache is reduced by using small-gauge spinal needles and/or a non-cutting bevel.level 1 evidence.
Further high quality trials are required to determine the efficacy of epidural blood patch administration in the treatment of postdural puncture headache (Level 1).However benefit is likely
Frequent use of analgesics, triptans and ergot derivatives in the treatment of recurrent acute headache may lead to medication overuse headache.
very important topic thank you for posting it but I have some questions
ReplyDelete1- It seems there is something missing in the text...
2-I could not understand could postdural puncture headache be recurrent or is it another subject please clarify.
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