Authors : Shilpa M. Doshi, Ronak Ramanuj, Ravi Parmar
DOI : 10.18231/j.ijca.2019.080
Volume : 6
Issue : 3
Year : 2019
Page No : 415-419
The incidence of post dural puncture headache of two different age groups and gender in elective lower limb surgeries: a prospective, observational study.
Aims and Objective: To estimate the incidence of post dural puncture headache in two different age groups in both male & female patients and associated development of post dural puncture headache with time duration, severity and common site of PDPH and study association of other symptoms such as nausea, vomiting and diplopia and also dose of I.M. diclofenac sodium needed in PDPH patient.
Materials and Methods: Lumber puncture was performed with 23G Spinal Needle. All patients were interviewed after 12, 24, 36, 48, 60 and 72 hours as regard to headache, its severity, location, character, duration, associated symptoms like nausea, vomiting, auditory and ocular symptoms.
Result: PDPH incidence was 9.0%. The incidence of PDPH of young patients were 14.0% and of old patients were 4.0%. Difference of incidence of PDPH was statistically significant p=0.0262. PDPH incidence in females were 13.97% and in males were 4.67%. The difference in incidence of PDPH was statistically significant p=0.0408.
Conclusion: PDPH incidence is significant but proportion is inverse to the age of the patients. Female has more risk of PDPH. Most common severity of PDPH is grade II. No patient develops PDPH before 24 hours and after 48 hours. The most common location of PDPH is fronto-occipital. Nausea and vomiting are associated with severe PDPH. No patients develop any other associated symptoms. Among PDPH patients, 4 patients had treated with inj. Diclofenac sodium intramuscularly.
Keywords: PDPH, Younger & older age group, Male & female gender.