Open AccessTHE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE
Author(s) -
Stefka Mantarova,
Spaska Georgieva Zhostova,
Boyko Todorov,
Anastasia Trenova,
G Slavov,
Maria G. Manova
Publication year - 2015
Publication title -
international journal of surgery and medicine/international journal of surgery and medicine
Language(s) - English
Resource type - Journals
eISSN - 2367-7414
pISSN - 2367-699X
DOI - 10.5455/ijsm.20150906112230
Subject(s) - medicine , anxiety , lumbar puncture , nausea , depression (economics) , vomiting , hospital anxiety and depression scale , neurology , comorbidity , complication , physical therapy , pediatrics , anesthesia , psychiatry , cerebrospinal fluid , economics , macroeconomics
Background: The post-dural puncture headache (PDPH) is the most common complication of lumbar puncture in neurological practice. Although the comorbidity of headache and psychiatric symptoms is well-recognized, the data about the relationship between PDPH and symptoms of anxiety and depression are limited. The aim of the present study was to determine the influence of anxiety symptoms on the risk for PDPH.\udMethods: Diagnostic lumbar puncture was performed to thirty-nine neurological patients, presented by 26 women and 13 men. All subjects completed the Hospital Anxiety and Depression Scale (HADS) before the procedure. Information about the clinical characteristic of the headache - quality, location, severity, postural nature, duration and associated symptoms (nausea, vomiting, and tinnitus) was collected.\udResults: Fifteen of the patients (38,5%) developed PDPH. According to the presence of PDPH the patients were divided into two groups – with (group 1) and without headache (group 2). Women with headache were significantly younger (mean age 34,00±11,22 years) compared to females in group 2 (mean age 45,07±12,36 years) (p=0,028). Patients in group 1 had significantly higher levels of reported anxiety symptoms compared to group 2 (p= 0,045). A significant positive correlation was observed between anxiety and PDPH (Spearman’s rho = 0,412, p=0,009).\udConclusion: Younger female patients with anxiety had a considerably increased rate of PDPH. This could be of practical benefit in devising an additional treatment strategy for patients with PDPH