ArticleCureus2025
Headache and Neurological Symptoms Following Lumbar Puncture in a Patient With a Ventriculoperitoneal Shunt.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Post-dural puncture headache (PDPH) is a common complication of lumbar puncture and neuraxial anesthesia, typically resulting from cerebrospinal fluid (CSF) leakage and intracranial hypotension. Although the pathophysiology and management of PDPH are well established in the general population, its diagnosis and treatment in patients with ventriculoperitoneal shunts pose unique challenges due to altered CSF dynamics and intracranial compliance. In these individuals, even minor CSF volume changes can produce unpredictable pressure gradients and paradoxical phenomena such as low-pressure hydrocephalus. The use of an epidural blood patch, a mainstay of PDPH management, carries additional risks in this population and must be approached with multidisciplinary collaboration and careful hemodynamic consideration.
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Registered trials
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