How long does a postdural puncture headache last?
The PDPH usually remits spontaneously within 2 weeks, or after sealing of the leak with an autologous epidural lumbar patch. The headache usually starts within 48 hours of an epidural UDP and if left untreated, resolves spontaneously in about 2-weeks in most women but may last longer in some women. Treatment / Management The initial management of PDPH symptoms involves administering analgesics, oral or intravenous hydration, and avoiding having the patient in the upright position. This approach is often effective. In over two-thirds of patients, PDPH symptoms can resolve spontaneously within 1 to 2 weeks.
When should I be worried about a post lumbar puncture headache?
Contact your healthcare provider if you experience a severe headache after a spinal tap, especially if it lasts longer than 24 hours. Get immediate medical attention if you experience difficulty peeing or lose feeling in your back or legs. These are signs of serious complications. Headache is the most common complication of lumbar puncture, observed in 20–70% of patients. It usually begins 24–48 hours after the procedure and is more common in young adults.And it might last several days, or even weeks or months. A severe headache that gets better when you’re lying down could be a sign of a cerebrospinal fluid (CSF) leak, a condition where fluid leaks from your spine. If left untreated, a CSF leak can become serious, depending on its location and the severity.So, the headaches are typically absent first thing in the morning, and start or worsen shortly after getting out of bed. The pain is often worse at the back of the head, and may be accompanied by some neck discomfort and nausea.Treatment for spinal headaches begins conservatively. Your provider may recommend getting bed rest, drinking plenty of fluids, consuming caffeine and taking oral pain relievers. If your headache hasn’t improved within 24 hours, your provider might suggest an epidural blood patch.