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Kamm, Katharina and Förderreuther, Stefanie (2021): Postpunktioneller Kopfschmerz. In: Nervenarzt, Vol. 92, No. 6: pp. 611-621

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Abstract

Post-dural puncture headache belongs to the group of secondary headache disorders and is a typical complication of intended or unintended dural puncture. The main symptom is orthostatic headache, which can be accompanied by neurological symptoms such as diplopia depending on the extent of the cerebrospinal fluid leak. The course of this headache is predominantly benign, showing spontaneous improvement over a couple of days, although severe cases are described in the literature. The following article provides an overview of the current knowledge about the headache's pathophysiology, diagnostic work-up and therapy.

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