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

doi:10.5455/ijsm.20150906112230

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Original Research
Online Published: 14 Oct 2015

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: 2

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 (Spearmans 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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How to Cite this Article

Pubmed Style

Mantarova S, Zhostova SG, Todorov B, Trenova A, Slavov G, Manova M. 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

Mantarova S, Zhostova SG, Todorov B, Trenova A, Slavov G, Manova M. THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. https://www.ejos.org/?mno=197237 [Access: June 27, 2026]. doi:10.5455/ijsm.20150906112230

AMA (American Medical Association) Style

Mantarova S, Zhostova SG, Todorov B, Trenova A, Slavov G, Manova M. 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

Mantarova S, Zhostova SG, Todorov B, Trenova A, Slavov G, Manova M. THE IMPACT OF ANXIETY ON POST - DURAL PUNCTURE HEADACHE IN ROUTINE NEUROLOGY PRACTICE. Int J Surg Med. (2015), [cited June 27, 2026]; 1(2): 53-57. doi:10.5455/ijsm.20150906112230

Harvard Style

Mantarova, S., Zhostova, . S. G., Todorov, . B., Trenova, . A., Slavov, . G. & Manova, . M. (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

Mantarova, Stefka, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, and 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

Mantarova, Stefka, Spaska Georgieva- Zhostova, Boyko Todorov, Anastasia Trenova, Georgi Slavov, and 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

Mantarova, S., Zhostova, . S. G., Todorov, . B., Trenova, . A., Slavov, . G. & Manova, . M. (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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