Impact of migraine headaches and depression/anxiety on the incidence of post-dural puncture headache during postpartum course
Jing Song, Kathryn Breidenbach, Annie Lynn Penaco Duong, Shane Zhang, Vilma Joseph
Abstract
Background
Migraine headaches, anxiety disorder and depression have not been studied to determine if parturients are at risk for developing a PDPH.
Aims
This retrospective analysis is to identify and assess the risk of developing a post-dural puncture headache (PDPH) in parturients with a documented history of primary migraines and anxiety/depression.
Methods
The parturients who had accidental dural puncture (ADP) during labour epidural placement were included and further analysed for the development of a post-dural puncture headache (PDPH). We compared patient demographics and the history of depression/anxiety, as well as evaluated the patient for a history of migraine headaches and depression/anxiety.
Results
One hundred seventy-five parturients met our criteria for ADP, from which 92 (52.6 per cent) developed PDPH. A history of migraines was present in 7 of 10 (70 per cent) of patients with a PDPH, from which 4 of 7 (57.1 per cent) required an epidural blood patch treatment. A history of depression/anxiety was found in 7 of 12 (58.3 per cent) with a PDPH of which 2 of 7 (28.6 per cent) required an epidural blood patch treatment. Data analysis showed no significant difference between a history of migraines or depression/anxiety and the incidence of dural puncture headache (P=0.26 and P=0.68, respectively), nor was there an association between a history of migraines or depression/anxiety and the intensity of dural puncture headache (P=0.25 and P=0.63, respectively).
Conclusion
The results of this study indicate that in postpartum patients neither the presence of a history of migraines nor a history of depression/anxiety was associated with an increased risk of the development of PDPH or an increase in its intensity.
Full Text:
Migraine headaches, anxiety disorder and depression have not been studied to determine if parturients are at risk for developing a PDPH.
Aims
This retrospective analysis is to identify and assess the risk of developing a post-dural puncture headache (PDPH) in parturients with a documented history of primary migraines and anxiety/depression.
Methods
The parturients who had accidental dural puncture (ADP) during labour epidural placement were included and further analysed for the development of a post-dural puncture headache (PDPH). We compared patient demographics and the history of depression/anxiety, as well as evaluated the patient for a history of migraine headaches and depression/anxiety.
Results
One hundred seventy-five parturients met our criteria for ADP, from which 92 (52.6 per cent) developed PDPH. A history of migraines was present in 7 of 10 (70 per cent) of patients with a PDPH, from which 4 of 7 (57.1 per cent) required an epidural blood patch treatment. A history of depression/anxiety was found in 7 of 12 (58.3 per cent) with a PDPH of which 2 of 7 (28.6 per cent) required an epidural blood patch treatment. Data analysis showed no significant difference between a history of migraines or depression/anxiety and the incidence of dural puncture headache (P=0.26 and P=0.68, respectively), nor was there an association between a history of migraines or depression/anxiety and the intensity of dural puncture headache (P=0.25 and P=0.63, respectively).
Conclusion
The results of this study indicate that in postpartum patients neither the presence of a history of migraines nor a history of depression/anxiety was associated with an increased risk of the development of PDPH or an increase in its intensity.
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