ReviewKorean journal of anesthesiology2017
Postdural puncture headache.
Review in Korean journal of anesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05834140 (Effects of Muscle Energy Technique on Post-Dural Puncture Headache, Neck Pain and Disability After Cesarean Section), which is not on this map. Cited by 72 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Muscle Energy Technique on Post-Dural Puncture Headache, Neck Pain and Disability After Cesarean Section
Who cites it
72 citing papers in PubMed, 4 syntheses or guidelines pooled it, 145 citations in OpenAlex.
- Paramedian versus midline approach of spinal anesthesia: a systematic review and meta-analysis with trial sequential analysis.Journal of anesthesia · 2024Pooled it
- Comparison of the Effect of Landmark-Based Midline and Paramedian Approaches on Spinal Anesthesia-Related Complications in Adult Patients: A Meta-Analysis of Randomized Controlled Trials.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Peripheral Nerve Blocks for Postdural Puncture Headache: A New Solution for an Old Problem?In vivo (Athens, Greece)Pooled it
- Trans-nasal sphenopalatine ganglion block for post-dural puncture headache management: a meta-analysis of randomized trials.Brazilian journal of anesthesiology (Elsevier)Pooled it
- The Prophylactic Effect of Acetaminophen and Caffeine on Post Dural Puncture Headache after Spinal Anesthesia for Cesarean Section: A Randomized Double-Blind Clinical Trial.Iranian journal of medical sciences · 2024Trial
- Review
- Article
- Prevalence and associated factors of postdural puncture headache in cesarean section patients following spinal anesthesia in a public hospital in Harar, Eastern Ethiopia.PLOS global public health · 2026Article
- Sphenopalatine Ganglion Block for Postdural Puncture Headache in the Obstetric Population: A Narrative Review.Journal of pain research · 2026Review
- Protocol to avoid post-dural puncture headache after large-volume cerebral spinal fluid extraction in a prospective observational memory clinic study.Scientific reports · 2025Observational
- Review
- Article
- [Risk factors and treatment of post-dural puncture headache-an analysis of the German patients of the international EPIMAP study].Die Anaesthesiologie · 2025Article
- Cerebral Venous Thrombosis Following a Lumbar Puncture in a Patient Using NuvaRing.The American journal of case reports · 2025Article
- A Hospital-Based Quality Improvement Initiative to Reduce Postdural Puncture Headache in Cesarean Deliveries.Cureus · 2025Article
- Procedural and patient-related factors play differential roles in postdural puncture headache.Turkish journal of medical sciences · 2025Observational
- Efficacy and potency of sphenopalatine ganglion block for the management of postdural puncture headaches in post-cesarean section: A case report and literature review.The journal of obstetrics and gynaecology research · 2024Review
- Article
- Avoiding Invasive Measures: Sphenopalatine Ganglion Block as a Substitute for Epidural Blood Patch in Post-dural Puncture Headache: A Case Report.Anesthesiology and pain medicine · 2024Article
- Lumbar Puncture Complications: A Review of Current Literature.Current pain and headache reports · 2024Review
12 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be incapacitating, prompt diagnosis and treatment are mandatory. A diagnostic hallmark of PDPH is a postural headache that worsens with sitting or standing, and improves with lying down. Conservative therapies such as bed rest, hydration, and caffeine are commonly used as prophylaxis and treatment for this condition; however, no substantial evidence supports routine bed rest and aggressive hydration. An epidural blood patch is the most effective treatment option for patients with unsuccessful conservative management. Various other prophylactic and treatment interventions have been suggested. However, due to a lack of conclusive evidence supporting their use, the potential benefits of such interventions should be weighed carefully against the risks. This article reviews the current literature on the diagnosis, risk factors, pathophysiology, prevention, and treatment of PDPH.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.