(O74.5) Spinal and epidural anaesthesia-induced headache during labour and delivery

More details coming soon

63 679 in individuals diagnosis spinal and epidural anaesthesia-induced headache during labour and delivery confirmed

Etiology Pathogenesis Clinical Pattern Diagnostics Treatment Prevention

Diagnosis spinal and epidural anaesthesia-induced headache during labour and delivery is diagnosed Prevalent in Women Only

Men receive the diagnosis spinal and epidural anaesthesia-induced headache during labour and delivery

0 (No mortality)

Died from this diagnosis.

100

63 679

Women receive the diagnosis spinal and epidural anaesthesia-induced headache during labour and delivery

0 (less than 0.1%)

Died from this diagnosis.

Risk Group for the Disease spinal and epidural anaesthesia-induced headache during labour and delivery - Men aged 0 and Women aged 30-34

No Cases of the Disease Spinal and epidural anaesthesia-induced headache during labour and delivery identified in Men

Less common in men the disease occurs at Age 0-95+Less common in women the disease occurs at Age 0-14, 50-95+

In Women diagnosis is most often set at age 15-49

Disease Features spinal and epidural anaesthesia-induced headache during labour and delivery

Absence or low individual and public risk

Spinal and epidural anaesthesia-induced headache during labour and delivery - what does this mean

Spinal and epidural anaesthesia-induced headache during labour and delivery occurs when the anaesthetic is injected into the epidural space of the spine. this can cause a dural puncture, leading to a decrease in cerebrospinal fluid (csf) pressure. this can cause a headache, which is typically worse when the patient is in the upright position. this headache is usually relieved with bed rest and fluids.

What happens during the disease - spinal and epidural anaesthesia-induced headache during labour and delivery

Spinal and epidural anaesthesia-induced headache during labour and delivery is caused by the leakage of cerebrospinal fluid (csf) into the epidural space. this occurs when the needle used to administer the anaesthetic is inserted too deeply, causing a tear in the dura mater, the membrane that surrounds the spinal cord and csf. as a result, csf is able to leak out of the epidural space and into the surrounding soft tissue, leading to an accumulation of pressure in the head and neck region. this pressure can cause headaches, neck pain, and dizziness.

Clinical Pattern

More details coming soon

How does a doctor diagnose

Physical examination of the patient
Medical history of the patient
Neurological examination
Imaging tests such as MRI or CT scan
Blood tests to check for any underlying medical conditions
Lumbar puncture to check for any signs of infection
Neurophysiological tests such as electromyography (EMG) or nerve conduction studies
Neuropsychological tests to assess cognitive functioning
Epidural anaesthesia-specific tests such as nerve blocks or epidural steroid injections

Treatment and Medical Assistance

Main goal of the treatment: To reduce the incidence of spinal and epidural anaesthesia-induced headache during labour and delivery.

Educating the patient and her partner about the risks and benefits of epidural anaesthesia.
Performing a thorough pre-anaesthesia assessment.
Administering epidural anaesthesia in a slow, step-wise fashion.
Using the smallest possible dose of anaesthetic.
Using the lowest possible concentration of anaesthetic.
Using the smallest possible volume of anaesthetic.
Using the smallest possible bolus dose of anaesthetic.
Using the lowest possible pressure of anaesthetic.
Using the lowest possible pressure of epidural catheter.
Using the smallest possible catheter size.
Using the lowest possible dose of local anaesthetic.
Using the lowest possible concentration of local anaesthetic.
Using the smallest possible volume of local anaesthetic.
Using the safest possible technique for administering the epidural anaesthesia.
Using the most appropriate type of local anaesthetic.
Using the most appropriate type of local anaesthetic agent.
Using the most appropriate type of catheter.
Using the most appropriate type of catheter size.
Using the most appropriate type of epidural catheter.
Using the most appropriate type of epidural anaesthetic.
Using the most appropriate type of epidural anaesthetic agent.
Monitoring the patient for signs and symptoms of epidural anaesthesia-induced headache.
Administering prophylactic medications to prevent or reduce the incidence of epidural anaesthesia-induced headache.
Providing appropriate post-anaesthesia care.
Providing appropriate post-partum care.
Providing appropriate follow-up care.

6 Days of Hospitalization Required

Average Time for Outpatient Care Not Established

Spinal and epidural anaesthesia-induced headache during labour and delivery - Prevention

Prevention of spinal and epidural anaesthesia-induced headache during labour and delivery can be achieved by using a combination of techniques such as using a low-volume injection, avoiding the use of a large-gauge needle, using a slow injection rate, and maintaining the patient in a sitting position during the injection. additionally, the use of prophylactic medications such as caffeine or non-steroidal anti-inflammatory drugs (nsaids) prior to the procedure can also reduce the risk of developing this headache.

Diseases with similar symptoms