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Turkish Journal of Medical Sciences

Abstract

Background/aim: The incidence of postdural puncture headache varies depending on the multifactorial nature of the risk factors. Patient-related and procedure-related risk factors are still controversial. In this prospective observational study, we aimed to evaluate the risk factors for postdural puncture headache, the effect of previous headache features on the development of postdural puncture headache, and the risk factors for the immediate or delayed postdural puncture headache.

Materials and methods: We prospectively analyzed 116 patients who underwent lumbar puncture for diagnostic or therapeutic purposes. All clinical and laboratory findings, previous headache history, and the features and information related to the lumbar puncture procedure were evaluated.

Results: We found that the presence of longer and more frequent attacks, independent of the type of the prior headache, and a history of migraine accompanied by osmophobia are independent risk factors for postdural puncture headache. A lower volume of cerebrospinal fluid collected, higher frequency of previous headache attacks, diagnosis of idiopathic intracranial hypertension, and acetazolamide use were risk factors for the immediate-onset postdural puncture headache.

Conclusion: This is the first study to detail the previous headache features in the development of postdural puncture headache and to extensively examine the risk factors for immediate and delayed postdural puncture headache. It was shown for the first time that patient- related factors may be more important in terms of the development of postdural puncture headache, and procedure-related factors gainimportance in terms of its time of occurrence.

Author ORCID Identifier

ECE YANIK: 0000-0001-8326-0526

DOĞA VURALLI: 0000-0002-7964-2676

TUĞBA TUNÇ: 0000-0001-6510-7931

DOI

10.55730/1300-0144.5987

Keywords

headache, idiopathic intracranial hypertension, onset time of postdural puncture headache, osmophobia, Postdural puncture headache

First Page

432

Last Page

442

Publisher

Scientific and Technological Research Council of Türkiye (TUBITAK)

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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