Open AccessPost-spinal anesthesia headache: a literature review
Author(s) -
Rafaela Seixas Pinho,
Gabriel Aranha Sousa Maués,
Paola Bitar de Mesquita Abinader,
Sérgio Beltrão de Andrade Lima
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.612
Subject(s) - medicine , headaches , nausea , photophobia , incidence (geometry) , complication , anesthesia , inclusion and exclusion criteria , phonophobia , pediatrics , surgery , migraine , alternative medicine , physics , pathology , aura , optics
Background: Headache is the most common neurological symptom and is an important complication of cerebrospinal fluid access (CSF) techniques, reported by 1/3 of the patients after 48 hours of puncture. Objective: Present the most relevant information about the clinic and influential factors of headache after spinal anesthesia. Method: A literature review was conducted in pubmed, Scielo, Lilacs and Google academic databases, having as inclusion criteria articles of great relevance published in English, Portuguese and Spanish in the period 2016 to 2021 and exclusion criteria articles published outside that period. Results: Post-spinal anesthesia headache or post-dural puncture headache (DPC) belongs to the group of secondary headaches resulting from nonvascular disorders. The condition is composed of headache in the occipital and frontal region, which worsens in orthostatic position and may be accompanied by other symptoms such as neck stiffness, hearing disorders, photophobia, and nausea. The incidence of headache after the procedure varies according to the technique used, which can be medial or para - medial; more frequent in females; with the use of calibrated needles and in young patients. Regarding the recovery time, according to the reviewed literature, 72% of the patients had resolved the case within 7 days. Conclusion: Therefore, the correct performance of the procedure, with attention to modifiable factors, and the careful evaluation of clinical aspects for early diagnosis are essential to reduce the incidence and morbidity of this potentially disabling headache.