There is no contraindication to epidural or spinal analgesia or anaesthesia.
Migraine can usually be easily distinguished from PDPH. In migraine, the headache is usually unilateral and frontal whereas in PDPH the headache is usually bilateral, occipital and frontal. The dramatic improvement in PDPH on lying down is not present with migraine. New onset severe headache should always alert medical staff to the possibility of other underlying conditions (see Chapter 44, Postdural puncture headache, p. 114).
Was this article helpful?