International Journal of Surgery and Medicine

2019, Vol: 5, Issue: 1

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Int J Surg Med. 2015; 1(2): 53-57

doi: 10.5455/ijsm.20150906112230

THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova.

Cited by (1)

Abstract
Background: The post-dural puncture headache (PDPH) is the most common complication of lumbar puncture in neurological practice. Although the comorbidity of headache and psychiatric symptoms is well-recognized, the data about the relationship between PDPH and symptoms of anxiety and depression are limited. The aim of the present study was to determine the influence of anxiety symptoms on the risk for PDPH.
Methods: Diagnostic lumbar puncture was performed to thirty-nine neurological patients, presented by 26 women and 13 men. All subjects completed the Hospital Anxiety and Depression Scale (HADS) before the procedure. Information about the clinical characteristic of the headache - quality, location, severity, postural nature, duration and associated symptoms (nausea, vomiting, and tinnitus) was collected.
Results: Fifteen of the patients (38,5%) developed PDPH. According to the presence of PDPH the patients were divided into two groups – with (group 1) and without headache (group 2). Women with headache were significantly younger (mean age 34,00±11,22 years) compared to females in group 2 (mean age 45,07±12,36 years) (p=0,028). Patients in group 1 had significantly higher levels of reported anxiety symptoms compared to group 2 (p= 0,045). A significant positive correlation was observed between anxiety and PDPH (Spearman’s rho = 0,412, p=0,009).
Conclusion: Younger female patients with anxiety had a considerably increased rate of PDPH. This could be of practical benefit in devising an additional treatment strategy for patients with PDPH.

Key words: headache, anxiety, depression, lumbar puncture

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REFERENCES

1. Evans RW, Armon C, Frohman EM, Goodin DS. Assessment: prevention of post-lumbar puncture headaches: report of the therapeutics and technology assessment subcommittee of the American Academy of neurology. Neurology 2000;55:909-914. [DOI via Crossref] [Pubmed]

2. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33: 629-808.

3. Wu CL, Rowlingson AJ, Cohen SR, Michaels RK, Courpas GE, Joe EM, et al. Gender and post-dural puncture headache. Anesthesiology 2006;105: 613-618. [DOI via Crossref]

4. Velde MV, Schepers R, Berends N. Ten years of experience with dural punctures and PDPH in obstetric anesthesia department. Int J Obstet Anaesth. 2009;17:329-335. [DOI via Crossref] [Pubmed]

5. Beyazit Z. Postdural puncture haedache and pregabailin. J Pain Res. 2010;3:11-14

6. Candido KD, Stevens RA. Post dural puncture headache: pathophysiology, prevention, and treatment. Best Pract Res Clin Anaesth. 2003;17:451-469. [DOI via Crossref]

7. Frank RL. Lumbar puncture and postdural puncture headaches: Implications for the emergency physician. J Emerg Med. 2008; 35:149-157. [DOI via Crossref] [Pubmed]

8. de Almeida SM, Shumaker SD, LeBlanc SK, Delaney P, Marquie-Beck J, Ueland S. et al. Incidence of post-dural puncture haedache in research volunteers. Headache. 2011 51;1503-1510. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]

9. Vilming ST, Kloster R, Sandvik L. The importance of sex, age, needle size, height and body mass index in post-lumbar puncture headache. Cephalalgia 2001;21:738-743. [DOI via Crossref] [Pubmed]

10. Khlebtovsky A, Weitzen S, Steiner I, Kuritzky A et al. Risk factors for post lumbar puncture headache. Clinical Neurology and Neurosurgery 2015; 131:78-81; [DOI via Crossref] [Pubmed]

11. Dodge HS, Ekhator NN, Jefferson-Wilson L, Fischer M, Jansen I, Horn PS et al. Cigarette smokers have reduced the risk for post-dural puncture headache. Pain physician 2013;16: E25-E30. [Pubmed]

12. Frank RL. Lumbar puncture and postdural puncture headaches: Implications for the emergency physician. J Emerg Med. 2008; 35:149-157. [DOI via Crossref] [Pubmed]

13. Jabbari A, Alijanpour E, Mir M, Bani Hashem N, Rabiea SM, Rupani MA. Post spinal puncture headache, an old problem, and new concepts: a review of articles about predisposing factors. Caspian J Intern Med. 2013;4:595-602. [Pubmed] [PMC Free Fulltext]

14. Turnbull DK, Shepherd DB. Post-dural puncture headache: pathogenesis, prevention, and treatment. Br J Anaesth. 2003 ;91:718-729. [DOI via Crossref]

15. Majd SA, Pourfarzam S, Ghasemi H, Yarmohammadi ME, Davati A, Jaberian M. Evaluation of pre lumbar puncture position on post lumbar puncture headache. J Res Med Sci. 2011 Mar;16(3):282-6. [Pubmed] [PMC Free Fulltext]

16. Monserrate AE, Ryman DC, Ma S, Xiong C, Noble JM, Ringman JM et al. Factors Associated With the Onset and Persistence of Post-Lumbar Puncture Headache. JAMA Neurol. 2015;72:325-332. [DOI via Crossref] [Pubmed]

17. Teece S, Crawford I. Bed rest after lumbar puncture. Emerg Med J. 2002;19:432-433. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]

18. Park SY, Wang MJ, Jang JW, Park YH, Lee JW, Kim S. Risk Factors for Post-Lumbar Puncture Headache in a Study of Alzheimer's Disease Biomarkers. Dement Neurocognitive Disord. 2015;14:12-16. [DOI via Crossref]

19. Breslau N, Lipton RB, Stewart WF, Schultz LR, Welch KM. Comorbidity of migraine and depression: investigating potential etiology and prognosis. Neurology 2003; 60:1308-1312. [DOI via Crossref] [Pubmed]

20. Hamelsky SW, Lipton RB. Psychiatric comorbidity of migraine. Headache 2006; 46:1327-1333. [DOI via Crossref] [Pubmed]

21. Maizels M, Smitherman TA, Penzien DB. A review of screening tools for psychiatric comorbidity in headache patients. Headache 2006;46: S98-109. [DOI via Crossref] [Pubmed]

22. Gambini O, Barbieri V, Biagianti B, Scarone S. Consultation-liaison psychiatry for patients with headaches. Neurol Sci. 2011;32 1: S81-3. [DOI via Crossref] [Pubmed]

23. Alcolea D, MartÃnez-Lage P, Izagirre A, CleriguÃ© M, Carmona-Iragui M, Alvarez RM, et al. Feasibility of lumbar puncture in the study of cerebrospinal fluid biomarkers for AlzheimerÂ’s disease: a multicenter study in Spain. J Alzheimers Dis. 2014;39:719-726. [Pubmed]

24. Edwards C, Leira EC, Gonzalez-Alegre P. Residency training: a failed lumbar puncture is more about obesity than lack of ability. Neurology. 2015;84:E69-72. [DOI via Crossref] [Pubmed]

25. Gross C, Hen R. The developmental origins of anxiety. Nat Rev Neurosci. 2004; 5: 545-552. [DOI via Crossref] [Pubmed]

26. Marks DM, Shah MJ, Patkar AA, Masand PS, Park GY, Pae CU. Serotonin-norepinephrine reuptake inhibitors for pain control: premise and promise. Curr Neuropharmacol. 2009; 7: 331-336. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]

27. Sheen MJ, Ho ST. Mirtazapine relieves postdural puncture headache. Anesth Analg. 2008; 107: 346. [DOI via Crossref] [Pubmed]

28. Stimmel GL, Dopheide JA, Stahl SM. Mirtazapine: An antidepressant with noradrenergic and specific serotonergic effects. Pharmacotherapy 1997; 17:10-21. [Pubmed]

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How to Cite this Article

Pubmed Style

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova. THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. Int J Surg Med. 2015; 1(2): 53-57. doi:10.5455/ijsm.20150906112230

Web Style

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova. THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. http://www.ejos.org/?mno=197237 [Access: April 26, 2019]. doi:10.5455/ijsm.20150906112230

AMA (American Medical Association) Style

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova. THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. Int J Surg Med. 2015; 1(2): 53-57. doi:10.5455/ijsm.20150906112230

Vancouver/ICMJE Style

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova. THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. Int J Surg Med. (2015), [cited April 26, 2019]; 1(2): 53-57. doi:10.5455/ijsm.20150906112230

Harvard Style

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova (2015) THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. Int J Surg Med, 1 (2), 53-57. doi:10.5455/ijsm.20150906112230

Turabian Style

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova. 2015. THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. International Journal of Surgery and Medicine, 1 (2), 53-57. doi:10.5455/ijsm.20150906112230

Chicago Style

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova. "THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE." International Journal of Surgery and Medicine 1 (2015), 53-57. doi:10.5455/ijsm.20150906112230

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Stefka Mantarova, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, Maria Manova (2015) THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. International Journal of Surgery and Medicine, 1 (2), 53-57. doi:10.5455/ijsm.20150906112230

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