Evidence map›Paper›PMID 32323013›Full record

ReviewCurrent pain and headache reports2020

A Comprehensive Update on the Treatment and Management of Postdural Puncture Headache.

Riki Patel, Ivan Urits, Vwaire Orhurhu, Mariam Salisu Orhurhu, Jacquelin Peck, Emmanuel Ohuabunwa, Andrew Sikorski, Armeen Mehrabani, Laxmaiah Manchikanti, Alan D Kaye and 3 more

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Current pain and headache reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT05834140 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of Muscle Energy Technique on Post-Dural Puncture Headache, Neck Pain and Disability After Cesarean Section

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled30ConditionsPost-Dural Puncture Headache, Cesarean Section ComplicationsArmsTraditional Physical Therapy, Muscle Energy Technique
NCT07708701 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effect of Brochure-Supported Structured Telemedicine Counseling on the Management of Postdural Puncture Headache After Cesarean Delivery Under Spinal Anesthesia: A Prospective Randomized Trial

TypeinterventionalSponsorYuzuncu Yil UniversityRan2025 to 2025Enrolled160ConditionsPostdural Puncture Headache (PDPH), Treatment Adherence and Compliance, Cesarean Delivery ProceduresArmsStandard Information and Standard Telephone Follow-up, Brochure-Supported Structured Telemedicine Counseling
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Predictors of post-lumbar puncture headache in an academic outpatient neurology setting: a retrospective exploratory study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Occipital nerve block for headaches: a narrative review.Journal of oral & facial pain and headache · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  18. Postpartum seizure as a complication of dural puncture and intracranial hypotension.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  19. Article
  20. Clinical management of dural defects: A review.World journal of clinical cases · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Riki PatelCreighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Ivan UritsDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA. iurits@bidmc.harvard.edu.
Vwaire OrhurhuDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.
Mariam Salisu OrhurhuDepartment of Anesthesia, Critical Care, and Pain Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.
Jacquelin PeckDepartment of Anesthesiology, Mount Sinai Medical Center, Miami Beach, FL, USA.
Emmanuel OhuabunwaDepartment of Emergency Medicine, Yale New Haven Health System, New Haven, CT, USA.
Andrew SikorskiCreighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Armeen MehrabaniCreighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Laxmaiah ManchikantiPain Management Centers of America, Paducah, KY, USA.
Alan D KayeDepartment of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Rachel J KayeDepartment of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
John A HelmstetterDepartment of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Omar ViswanathValley Anesthesiology and Pain Consultants, Phoenix, AZ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe purpose of this manuscript is to provide a comprehensive review of postdural puncture headache (PDPH) with a focus on epidemiology, pathophysiology, treatment, and prophylaxis. RECENT

findingsPDPH is an adverse iatrogenic complication of neuraxial anesthesia that occurs following inadvertent puncture of the dura after epidural or spinal anesthesia. The overall incidence of PDPH after neuraxial procedures varies from 6 to 36%. The occurrence of PDPH can lead to increased patient morbidity, delayed discharge, and increased readmission. PDPH is a self-limiting postural headache that most often will resolve within 1 week, without need for treatment. Various prophylactic measures have been studied; however, more studies have been recommended to be undertaken in order to establish a proven benefit. For mild PDPH, conservative treatments are currently focused around bed rest, as well as oral caffeine. For moderate-to-severe PDPH, epidural blood patch (EBP) remains the most effective treatment; however, this invasive treatment is not without inherent risks. Further less invasive treatments have been explored such as epidural saline, dextran 40 mg solutions, hydration, caffeine, sphenopalatine ganglion blocks, greater occipital nerve blocks, and surgical closure of the gap; all have shown promise. Further studies are essential to prove efficacy as well as safety over the proven treatment of epidural blood patches. There is still limited evidence in literature about the understanding of PDPH and optimal treatment.

Indexed as

Disease ManagementAge FactorsBlood Patch, EpiduralFemaleHumansMalePost-Dural Puncture HeadachePregnancySex FactorsSpinal PunctureTreatment OutcomeEpiduralEpidural blood patchPositional headachePostdural puncture headache

Identifiers

PMID32323013

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.