INCIDENCE OF POST DURAL PUNCTURE HEADACHE FOLLOWING DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE USING 25 GAUGE QUINCKE SPINAL NEEDLE: A DESCRIPTIVE CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.71000/57g62090Keywords:
Post-dural puncture headache, Quincke spinal needle, spinal anesthesia, lumbar puncture, cerebrospinal fluid leakage.Abstract
Background: Post-dural puncture headache (PDPH) remains a common complication following spinal anesthesia. Needle design and patient-related factors significantly influence its incidence.
Objective: To determine the incidence of PDPH following lower-segment surgeries performed under spinal anesthesia using a 25-gauge Quincke spinal needle and to evaluate its association with age, gender, number of attempts, and patient positioning during lumbar puncture.
Methods: This descriptive cross-sectional study was conducted from August to November 2024 and included 319 ASA I–II patients undergoing gynecologic, urologic, and orthopedic lower-segment surgeries under spinal anesthesia. Patients were monitored for three days postoperatively. The onset, location, and severity of headache were recorded using a structured questionnaire.
Results: The overall incidence of PDPH was 20.6% (66/319). A higher incidence was observed in younger patients. Among patients aged 15–30 years (n=158), 38 (57.6% of total PDPH cases) developed PDPH. In the 31–45 years group (n=103), 21 (31.8%) were affected, while only 7 patients (10.6%) in the 46–60 years group (n=58) developed PDPH. PDPH was more frequently observed in younger female patients undergoing gynecologic procedures.
Conclusion: The incidence of PDPH with a 25-gauge Quincke spinal needle remains considerable, particularly among younger patients. Careful consideration of needle type, size, and procedural technique may help reduce the occurrence of this complication.
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Copyright (c) 2025 Umar Farooq, Umar Nawaz Khan, Taj Nabi, Peer Sabir Shah, Amjad Ali, Hidayat Ullah, Bilal Ahmad (Author)
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