Non invasive Management of Post Dural Puncture Headache –A Comparison.
Loading...
Date
2014-04
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Aim: To evaluate the efficacy of oral Theophylline for the management of post dural puncture
headache (PDPH). Material and Method: Forty patients with PDPH, whose surgeries were
done under spinal anaesthesia, were selected randomly and divided into two groups of 20 each.
One group to receive conservative treatment and the other group Theophylline (400 mg) only
orally. Intensity of headache was analysed using a visual analogue scale (VAS) of pain.
Assessment was done immediately before (0 h) and at 8, 16 and 24th hr of drug administration.
Result: Significantly better relief of PDPH was found in Theophylline (9.3±5.7) than the conservative
group (56.7 ±10.2) (p<0.001). Recurrence of headache was found in 2 patients (10
%) at16th hr and 2 (10%) at 24th hr in the Theophylline group compared to 12 (60%) and 14
(70%) patients respectively in the other group. Conclusion: The study concludes that
Theophylline in the management of post dural puncture headache may be considered the best
choice over the conventional approach.
Description
Keywords
Conservative measures, PDPH, Spinal anaesthesia, Theophylline, VAS
Citation
Sen J, Sen B. Non invasive Management of Post Dural Puncture Headache –A Comparison. Bangladesh Journal of Medical Science. 2014; 13(2): 114-118.