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Abstract
Headache is a major disadvantage of spinal anesthesia and may occur after epidural
anesthesia. It occurs due to leakage of cerebrospinal fluid through dural puncture.
Once the diagnosis has been accomplished the treatment takes place, conservative
measures include that the patient is ordered to lie supine in bed and massive hydration
is given to him, give him analgesics, prophylactic measures include intrathecal
postoperative analgesia, epidural saline injection, epidural blood patch and intrathecal
catheter placement.
Treatment include epidural blood patch, epidural dextran injection, epidural saline
injection, epidural fibrin glue, ACTH, Desmopressin acetate, caffeine therapy,
sumatriptan and Gabapentin, which is recently used to relieve PDPH.