Following is not used in the management of Post dural headache –
Correct Answer: Propped up position
Description: Ans. is 'a' i.e., Propped up position * Supine (recumbent) position and not propped up is recommended for the management of post dural headache.* Post dural puncture headache is due to CSF leak. Typical location is bifrontalor occipital.* Headache gets worsen on sitting or upright posture and is relieved by lying down position and abdominal pressure - The hallmark of postdural puncture headache i.e., association with body position.* The onset of headache is usually 12-72 hours following the procedure, however, it may be seen almost immediately. In most cases it lasts for 7-10 days.* PDPH is believed to result from leakage of CSF from a dural defect and decreased ICT. Loss of CSF at a rate faster that it can be produced causes traction on structure supporting the brain, particularly dura and tentorium. Traction on cranial nerve (particularly 6th nerve) produces diplopia.* Factors that increase the incidence of PDPH are young age, female sex, Pregnancy, large bore needle and multiple punctures. Timing of ambulation has no effect on incidence of PDPH* Use of small bore needle can prevent PDPH.* Intially conservative treatment is given which includes analgesics (NSAIDs), oral or i.v. fluids, Sumatriptan, cosyntropin, caffeine and recumbent position.* If conservative treatment fails, epidural blood patch can be used. It involves injecting 15-20 ml of autologous blood into the epidural space which stop leakage of CSF by coagulation and mass effect.
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now