Smith KA

Language: English
References: 30
Page: 269-272
PDF size: 131.07 Kb.

ABSTRACT

August Bier, a German surgeon who performed the first spinal anesthetic using cocaine, was the first person to describe a dural puncture headache (DPH) in the late 1890’s. He stated, «All symptoms disappeared immediately when I lay horizontally but came back when I got upright». International Classification of Headache Disorders defines post-dural puncture headache as occurring within five days of dural puncture, usually accompanied by neck stiffness and/or auditory symptoms, resolving within two weeks or after an epidural blood patch. Because up to 5% of patients do not have a postural component, this requirement has been removed from the definition.

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