Der Postpunktionskopfschmerz: Klinik, Diagnostik und aktuelle Therapieoptionen = Postdural puncture headache-clinics, diagnostics and current therapy options
The present review focuses on post dural puncture headache (PDPH) as a complication after epidural or spinal anaesthesia, especially in an obstetric context. The pathophysiology of PDPH is complex and not yet fully understood. However, CSF loss and meningeal irritation seem to play a central role. T...
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Deutsch |
| Veröffentlicht: |
Juni 2025
|
| In: |
Anästhesiologie & Intensivmedizin
Year: 2025, Jahrgang: 66, Heft: 6, Pages: 227-235 |
| ISSN: | 1439-0256 |
| DOI: | 10.19224/ai2025.227 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://dx.doi.org/10.19224/ai2025.227 Verlag, lizenzpflichtig, Volltext: https://www.ai-online.info/archiv/2025/06-2025/der-postpunktionskopfschmerz-klinik-diagnostik-und-aktuelle-therapieoptionen.html 
|
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1939832322 | ||
| 003 | DE-627 | ||
| 005 | 20251103111917.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 251031s2025 xx |||||o 00| ||ger c | ||
| 024 | 7 | |a 10.19224/ai2025.227 |2 doi | |
| 035 | |a (DE-627)1939832322 | ||
| 035 | |a (DE-599)KXP1939832322 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a ger | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Siegler, Benedikt Hermann |e VerfasserIn |0 (DE-588)1072439913 |0 (DE-627)827504888 |0 (DE-576)433872225 |4 aut | |
| 245 | 1 | 4 | |a Der Postpunktionskopfschmerz |b Klinik, Diagnostik und aktuelle Therapieoptionen = Postdural puncture headache-clinics, diagnostics and current therapy options |
| 246 | 3 | 1 | |a Postdural puncture headache-clinics, diagnostics and current therapy options |
| 264 | 1 | |c Juni 2025 | |
| 300 | |b Illustrationen | ||
| 300 | |a 11 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 31.10.2025 | ||
| 520 | |a The present review focuses on post dural puncture headache (PDPH) as a complication after epidural or spinal anaesthesia, especially in an obstetric context. The pathophysiology of PDPH is complex and not yet fully understood. However, CSF loss and meningeal irritation seem to play a central role. The incidence varies widely and depends on patient and procedure related risk factors. Symptoms of PDPH are typically positional, with frontooccipital head ache that can be supplemented by neck stiffness, tinnitus, and photophobia. The therapy of PDPH includes con servative measures such as hydration and pharmacotherapy with analgesics and caffeine. The epidural blood patch (EBP) is considered the therapeutic gold standard, although the optimal time of application is controversial. Alternative therapies such as occipital nerve blocks, blocks of the sphenopalatine ganglion and epidural fibrin patches offer additional options, especially in the case of contraindications to EBP. | ||
| 700 | 1 | |a Kranke, Peter |d 1973- |e VerfasserIn |0 (DE-588)122921879 |0 (DE-627)082236429 |0 (DE-576)293477442 |4 aut | |
| 700 | 1 | |a Neef, Vanessa |d 1989- |e VerfasserIn |0 (DE-588)108151924X |0 (DE-627)846226723 |0 (DE-576)454481667 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Anästhesiologie & Intensivmedizin |d Ebelsbach : Aktiv Dr. und Verl., 1978 |g 66(2025), 6 vom: Juni, Seite 227-235 |h Online-Ressource |w (DE-627)503718459 |w (DE-600)2211357-5 |w (DE-576)25261450X |x 1439-0256 |7 nnas |a Der Postpunktionskopfschmerz Klinik, Diagnostik und aktuelle Therapieoptionen = Postdural puncture headache-clinics, diagnostics and current therapy options |
| 773 | 1 | 8 | |g volume:66 |g year:2025 |g number:6 |g month:06 |g pages:227-235 |g extent:11 |a Der Postpunktionskopfschmerz Klinik, Diagnostik und aktuelle Therapieoptionen = Postdural puncture headache-clinics, diagnostics and current therapy options |
| 856 | 4 | 0 | |u https://dx.doi.org/10.19224/ai2025.227 |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u https://www.ai-online.info/archiv/2025/06-2025/der-postpunktionskopfschmerz-klinik-diagnostik-und-aktuelle-therapieoptionen.html |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20251031 | ||
| 993 | |a Article | ||
| 994 | |a 2025 | ||
| 998 | |g 1072439913 |a Siegler, Benedikt Hermann |m 1072439913:Siegler, Benedikt Hermann |d 910000 |d 910300 |d 50000 |e 910000PS1072439913 |e 910300PS1072439913 |e 50000PS1072439913 |k 0/910000/ |k 1/910000/910300/ |k 0/50000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1939832322 |e 4794888821 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"relHost":[{"note":["Volltext auch als Teil einer Datenbank verfügbar","Gesehen am 02.09.2021"],"disp":"Der Postpunktionskopfschmerz Klinik, Diagnostik und aktuelle Therapieoptionen = Postdural puncture headache-clinics, diagnostics and current therapy optionsAnästhesiologie & Intensivmedizin","type":{"media":"Online-Ressource","bibl":"periodical"},"recId":"503718459","language":["ger"],"pubHistory":["19.1978,9 -"],"titleAlt":[{"title":"Anästhesiologie und Intensivmedizin"},{"title":"A & I"}],"part":{"extent":"11","text":"66(2025), 6 vom: Juni, Seite 227-235","volume":"66","pages":"227-235","issue":"6","year":"2025"},"title":[{"title":"Anästhesiologie & Intensivmedizin","subtitle":"offizielles Organ der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin, des Berufsverbandes Deutscher Anästhesisten und der Deutschen Akademie für Anästhesiologische Fortbildung","title_sort":"Anästhesiologie & Intensivmedizin"}],"physDesc":[{"extent":"Online-Ressource"}],"name":{"displayForm":["Hrsg.: Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI)"]},"origin":[{"publisherPlace":"Ebelsbach","publisher":"Aktiv Dr. und Verl.","dateIssuedKey":"1978","dateIssuedDisp":"1978-"}],"id":{"zdb":["2211357-5"],"eki":["503718459"],"issn":["1439-0256"]}}],"physDesc":[{"extent":"11 S.","noteIll":"Illustrationen"}],"id":{"eki":["1939832322"],"doi":["10.19224/ai2025.227"]},"origin":[{"dateIssuedDisp":"Juni 2025","dateIssuedKey":"2025"}],"language":["ger"],"recId":"1939832322","type":{"media":"Online-Ressource","bibl":"article-journal"},"note":["Gesehen am 31.10.2025"],"titleTranslated":[{"translated":"Postdural puncture headache-clinics, diagnostics and current therapy options"}],"person":[{"display":"Siegler, Benedikt Hermann","roleDisplay":"VerfasserIn","role":"aut","family":"Siegler","given":"Benedikt Hermann"},{"family":"Kranke","given":"Peter","roleDisplay":"VerfasserIn","display":"Kranke, Peter","role":"aut"},{"given":"Vanessa","family":"Neef","role":"aut","display":"Neef, Vanessa","roleDisplay":"VerfasserIn"}],"title":[{"title":"Der Postpunktionskopfschmerz","subtitle":"Klinik, Diagnostik und aktuelle Therapieoptionen = Postdural puncture headache-clinics, diagnostics and current therapy options","title_sort":"Postpunktionskopfschmerz"}]} | ||
| SRT | |a SIEGLERBENPOSTPUNKTI2025 | ||