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I read this article with interest. I think there was a lot of delay in diagnosing PDPH. This should not have taken time. The treatment of this should have been evidence based blood patch, which is very easy to perform. Probably this could have avoided the prologed stay and morbidity. Another point to perform blood patch is that it can avoid the complications of CSF leak, most important of which is meningitis leading to death. Unfortunately PDPH is very complex to present. It can present from typical fronto-occipital headache to complex bizzare symptommes of neck, shoulder and headache realated disorders. Key to its diagnosis and management is suspision. Thanks Dr N Zafar FCPS Anaesthesia
Posted by: snz68 on Jan 2004

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