| Analysis of Pospinal Puncture Headache and Its Treatment . |
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Jae Kyu Jeon, Jung In Bae |
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Department of Anesthesiology, Presbyterian Medical Center, Keimyung University School of Medicine, Taegu, Korea. |
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| Abstract |
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Pospinal complications have been reported and decumented for a century since the spinal anesthesia started in 1885.
Prevention and treatment of postpinal headache still remains a malor problem. However, we have no statistics on postspinal complications in Korea. During the five year period from 1974 to 1979, 5318 cases of spinal analgesia, mainly using the premixed 5 percent lidocaine solution with 5 percent dextrose, were recorded by Dong San Medical Center. Thie study was primarily undertaken to observe several aspects of postspinal heudache i.e. incidence, localization, distribution according to age and sex, and treatment. As a result of this study, we can summarize as follows: 1) The mean age of these cases was 43 years. 2) The main anesthetic was the premixed 5 percent lidocaine solution with 5 percent dextrose. 3) The needle for the lumbar puncture was mainly 22 gauze Whitacre pencil point needle. 4) The overall incidenee of headache was 3.4 percent. The incidence between 20 to 29 years was 5. 4 percent and 6. 0 percent from 30 to 39 years. This age distribution showed that 6. 0 percent from 30 to 39years.
This age distribution showed that the highest incidence was from 20 to 40 years. 5) 94 percent of the headaches were frontal and 6 percent were occipital. 6) Treatment results: a) 162 percent of the patients hed mild headache(110 cases).
These were cured spontaneously or by the intraveneus infusion only. b) 31 percent of the patients had moderate headache(56 cases). The se were treated with the analgesics.
c) 7 percent of the patients had secere headache(13 cases).
These were treated with the epidural blood patches. These results are compared with the phillips and Dripps series. |
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