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Post-dural puncture headaches in children. A literature review

Elke Janssens1, Peter Aerssens2, Phillipe Alliët2

  • 1Department of Paediatrics, Catholic University of Leuven, Leuven, Belgium.

European Journal of Pediatrics
|March 26, 2003
PubMed

Insights

Post-dural puncture headache (PDPH) is a rare complication in children following lumbar puncture. While several factors may increase risk, evidence does not support increased fluids or bed rest for prevention.

Area of Science:

  • Pediatric Anesthesiology
  • Neurology
  • Medical Complications

Background:

  • Post-dural puncture headache (PDPH) is a known complication of neuraxial procedures.
  • While recognized in adults, PDPH is infrequently reported in pediatric populations.

Purpose of the Study:

  • To review the literature on PDPH in children.
  • To provide recommendations on definition, etiology, incidence, risk factors, prevention, and treatment.

Main Methods:

  • Comprehensive literature review.
  • Analysis of reported cases and risk factors associated with PDPH in pediatric patients.

Main Results:

  • Significant risk factors for PDPH include patient age, gender, needle characteristics, and procedural details.
  • No evidence supports the efficacy of increased fluid intake or bed rest for PDPH prevention.
  • Conservative management for 48 hours is recommended, with epidural blood patch as an effective treatment for persistent cases.

Conclusions:

  • PDPH following lumbar puncture in children is rare.
  • Conflicting data exists regarding specific risk factors, prevention strategies, and treatment modalities.
Abstract

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