Evidence map›Paper›PMID 40342314›Full record

Observational studyTurkish journal of medical sciences2025

Procedural and patient-related factors play differential roles in postdural puncture headache.

Ece Yanik, Doğa Vuralli, Tuğba Tunç

Abstract readObservational Study
In one paragraph

Observational study in Turkish journal of medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Ece YanikDepartment of Neurology and Algology, Faculty of Medicine, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-8326-0526
Doğa VuralliDepartment of Neurology and Algology, Faculty of Medicine, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-7964-2676
Tuğba TunçDepartment of Neurology and Algology, Faculty of Medicine, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-6510-7931

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: The incidence of postdural puncture headache varies depending on the multifactorial nature of the risk factors. Patient-related and procedure-related risk factors are still controversial. In this prospective observational study, we aimed to evaluate the risk factors for postdural puncture headache, the effect of previous headache features on the development of postdural puncture headache, and the risk factors for the immediate or delayed postdural puncture headache. Materials and methods: We prospectively analyzed 116 patients who underwent lumbar puncture for diagnostic or therapeutic purposes. All clinical and laboratory findings, previous headache history, and the features and information related to the lumbar puncture procedure were evaluated. Results: We found that the presence of longer and more frequent attacks, independent of the type of the prior headache, and a history of migraine accompanied by osmophobia are independent risk factors for postdural puncture headache. A lower volume of cerebrospinal fluid collected, higher frequency of previous headache attacks, diagnosis of idiopathic intracranial hypertension, and acetazolamide use were risk factors for the immediate-onset postdural puncture headache. Conclusion: This is the first study to detail the previous headache features in the development of postdural puncture headache and to extensively examine the risk factors for immediate and delayed postdural puncture headache. It was shown for the first time that patient-related factors may be more important in terms of the development of postdural puncture headache, and procedure-related factors gain importance in terms of its time of occurrence.

Indexed as

Post-Dural Puncture HeadacheSpinal PunctureAdultFemaleHumansMaleMiddle AgedProspective StudiesRisk Factorsheadacheidiopathic intracranial hypertensiononset time of postdural puncture headacheosmophobiaPostdural puncture headache

Identifiers

PMID40342314
PMCPMC12058012

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Registered trials

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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.