Postdural puncture headache in migraineurs and nonheadache subjects

Oosterhout, W.P.J. van; Plas, Anton A. van der; Zwet, Erik W. van; Zielman, Ronald; Ferrari, Michel D.; Terwindt, GM

doi:10.1212/wnl.0b013e3182840bf6

Cited by 46 publications

(56 citation statements)

References 36 publications

(31 reference statements)

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“…En un estudio realizado por Kuntz KM y cols con 501 pacientes, se encontró un mayor riesgo de desarrollar CPPD en mujeres jóvenes con bajo peso 6 , además en otro estudio, Almeida SM y cols con una muestra de 675 pacientes, entre ellos 575 con diagnóstico de VIH positivo y 100 controles VIH negativos, se concluyó que el bajo peso es un factor de riesgo para CPPD (OR: 3,26; IC 95%: 1,53-6,96;…”

Section: íNdice De Masa Corporalunclassified

“…El punto de corte que consideraron estos estudios como bajo peso fue IMC menor de 25 Kg/ m 2 , lo cual podría ser un sesgo de estos datos junto con el grupo poblacional que eligieron (pacientes VIH positivos) 2,3,6,7,15 . Por otro lado, Vricella LK y cols 22 y Singh S y cols 11 encontraron en sus estudios mayor riesgo de complicaciones anestésicas durante la cesárea en mujeres gestantes obesas, mientras que otros autores 23 reportan una incidencia alta de CPPD en la obesas no mórbidas comparada con las obesas mórbidas (45% versus 25%) gestantes con punciones durales no intencionales durante la cesárea (Ver Tabla 3).…”

Section: íNdice De Masa Corporalunclassified

“…Por otro lado, un estudio prospectivo realizado en el 2013 por Van Oosterhout, W.P.J. y cols, encontraron que la migraña no incrementaba el riesgo de CPPD y que la punción dural no predisponía a ataques de migraña 6 . Adicionalmente, Webb CA y cols, realizaron un estudio de casos y controles concluyendo una mayor incidencia de cefalea crónica en el grupo de gestantes con puncion dural accidental (28%) que en el grupo de control (5%) (OR: 7; p=0,0129) 26 .…”

Section: Antecedente De Cppd Y Cefaleaunclassified

“…Los estudios reportan una gran variabilidad en la incidencia de la Cefalea Pospunción Dural (CPPD) ya que depende de factores de riesgos asociados 5 así como de la clasificación de criterios diagnósticos que se utilice para la CPPD. En términos generales la literatura reporta una incidencia entre el 10% al 40% 6 . Kuntz KM y cols 7 , en su estudio reportaron una incidencia de CPPD del 36,5%; sin embargo, Almeida SM y cols 8 reportaron una incidencia de 0,9%.…”

Section: Introductionunclassified

“…Hay estudios que reportan una asociación no significativa entre el número de intentos de punciones durales y la CPPD 6,24,31,32,34,46 . Sin embargo, Seeberger y cols realizaron un estudio prospectivo con 8034 punciones durales encontrando asociación estadística, estos autores atribuyen la falta de consistencia de los resultados en estudios anteriores debido a un bajo poder estadístico 47 .…”

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Actualización sobre factores de riesgo para cefalea pospunción dural

Rodríguez-Márquez

Ortega

2015

Rev. Medicas UIS

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RESUMENIntroducción: La cefalea pospunción dural es la complicación más frecuente de la punción dural, reportando una incidencia que oscila entre el 10% y el 40%. El padre de la anestesia epidural, August Bier, reportó en 1899 el primer caso de cefalea pospunción dural atribuyéndola a la perdida de líquido cefalorraquideo. Existen dos teorías para explicar su origen; la primera es la teoría de la grieta y la segunda es la teoría de Monro-Kellie-Burrows. El conocimiento de los factores de riesgo permite predecir la probabilidad de desarrollar esta patología. Objetivo: Revisar la evidencia actual sobre los factores de riesgo implicados en su desarrollo. Metodología de búsqueda: Se realizó una búsqueda de la literatura en PubMed, Proquest, Biblioteca Virtual en Salud en el periodo comprendido entre el 14 y 30 de Noviembre del 2014. Conclusiones: La edad, sexo femenino, antecedente personal de cefalea pospunción dural, aguja traumática y orientación del bisel perpendicular son factores de riesgo con significancia estadística. Mientras que los resultados a partir de los estudios no son concluyentes para factores como bajo peso (IMC<25Kg/m 2 ), antecedente personal de cefalea, mayor calibre de la aguja, no reinserción del estilete y mayor número de intentos por punción. MÉD UIS. 2015;28(3):345-52.Palabras Clave: Cefalea Pospunción de la Duramadre. Factores de Riesgo. Causalidad. Update on risk factors for post-dural puncture headacheABSTRACT Introduction: Post-dural puncture headache is the most common complication of dural puncture, reporting an incidence ranging between 10% and 40%. The father of epidural anesthesia, August Bier, reported the first case of post-dural puncture headache in 1899, attributing it to cerebrospinal fluid loss. There are two theories to explain its origin; the first is the theory of the crack and the second is the theory of Monro-Kellie-Burrows. Knowledge of risk factors allows to predict the likelihood of developing this disease. Objective: To review the current evidence pertaining to the risk factors involved in its development. Research methodology: Conducted literature research in PubMed, ProQuest, and Virtual Library of Health in the period between the 14th and 30th of November of 2014. Conclusions: Age, female gender, personal history of post-dural puncture headache, traumatic needle and orientation of perpendicular bevel are all risk factors with statistical significance. While results from other studies were inconclusive for factors such as low weight (BMI<25Kg/m

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Section: íNdice De Masa Corporalunclassified

Section: Antecedente De Cppd Y Cefaleaunclassified

Section: Introductionunclassified

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Actualización sobre factores de riesgo para cefalea pospunción dural

Rodríguez-Márquez

Ortega

2015

Rev. Medicas UIS

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Factors Associated With the Onset and Persistence of Post–Lumbar Puncture Headache

Monserrate

Ryman

et al. 2015

JAMA Neurol

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DESIGN, SETTING, AND PARTICIPANTSWe performed univariate and multivariable analyses of 338 lumbar punctures in the Dominantly Inherited Alzheimer Network observational study using linear mixed models, adjusting for participant-level and family-level random effects. MAIN OUTCOMES AND MEASURESWe directly evaluated associations of 3 post-lumbar puncture outcomes (immediate postprocedural headache, PDPH at 24-hour follow-up, and PDPH receiving a therapeutic blood patch) with participant age and sex, positioning, collection method, needle size, needle insertion site, and cerebrospinal fluid (CSF) volume collected. RESULTSThe incidence of adverse events included 73 immediate postprocedural headaches (21.6%), 59 PDPHs at 24-hour follow-up (17.5%), and 15 PDPHs receiving a therapeutic blood patch (4.4%). Greater volume of CSF collected was associated with increased risk of immediate postprocedural headache, largely owing to a nonlinear increase in risk on collection of volumes above 30 mL (odds ratio, 3.73 for >30 mL and 0.98 for <17 mL). In contrast, collection of higher volumes showed a protective effect in decreasing rates of PDPH at 24-hour follow-up and rates of PDPH receiving a therapeutic blood patch (odds ratio, 0.35 per 10 mL). Although differences in needle size did not reach statistical significance, no participant in the 24G needle group received a therapeutic blood patch compared to 8 of 253 for the larger 22G needles. CONCLUSIONS AND RELEVANCEFactors that acutely lower CSF pressure (eg, seated positioning or extracting very high volumes of CSF) may be associated with transient post−lumbar puncture headache, without increasing rates of persistent PDPH or therapeutic blood patch. Collection of up to 30 mL of CSF appears to be well tolerated and safe.

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Cerebrospinal Fluid and Plasma Amine Profiles in Interictal Migraine

Onderwater

Dongen

Harms

et al. 2023

Annals of Neurology

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Objective Impaired amine metabolism has been associated with the etiology of migraine, that is, why patients continue to get migraine attacks. However, evidence from cerebrospinal fluid (CSF) is lacking. Here, we evaluated individual amine levels, global amine profiles, and amine pathways in CSF and plasma of interictal migraine patients and healthy controls. Methods CSF and plasma were sampled between 8:30 am and 1:00 pm, randomly and interchangeably over the time span to avoid any diurnal and seasonal influences, from healthy volunteers and interictal migraine patients, matched for age, sex, and sampling time. The study was approved by the local medical ethics committee. Individual amines (n = 31), global amine profiles, and specific amine pathways were analyzed using a validated ultraperformance liquid chromatography mass spectrometry platform. Results We analyzed n = 99 participants with migraine with aura, n = 98 with migraine without aura, and n = 96 healthy volunteers. Univariate analysis with Bonferroni correction indicated that CSF L‐arginine was reduced in migraine with aura (10.4%, p < 0.001) and without aura (5.0%, p = 0.03). False discovery rate‐corrected CSF L‐phenylalanine was also lower in migraine with aura (6.9%, p = 0.011) and without aura (8.1%, p = 0.001), p = 0.088 after Bonferroni correction. Multivariate analysis revealed that CSF global amine profiles were similar for both types of migraine (p = 0.64), but distinct from controls (p = 0.009). Global profile analyses were similar in plasma. The strongest associated pathways with migraine were related to L‐arginine metabolism. Interpretation L‐Arginine was decreased in the CSF (but not in plasma) of interictal patients with migraine with or without aura, and associated pathways were altered. This suggests that dysfunction of nitric oxide signaling is involved in susceptibility to getting migraine attacks. ANN NEUROL 2023;93:715–728

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Postdural puncture headache in migraineurs and nonheadache subjects

Abstract: Migraineurs are not at increased risk of developing PDPH. PDPH duration is similar in migraineurs and age- and sex-matched controls. LP does not trigger migraine attacks, and the stress of an upcoming LP might even have a protective effect against onset of migraine attacks.

Cited by 46 publications

References 36 publications

Actualización sobre factores de riesgo para cefalea pospunción dural

Actualización sobre factores de riesgo para cefalea pospunción dural

Factors Associated With the Onset and Persistence of Post–Lumbar Puncture Headache

Cerebrospinal Fluid and Plasma Amine Profiles in Interictal Migraine

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