Yaş ve Cinsiyetin Dural Ponksiyon Sonrası Baş Ağrısına Etkisi

Year 2021, Volume: 4 Issue: 1, 37 - 41, 08.06.2021

Abdullah Celep , Aydın Mermer Mehmet Selçuk Uluer

Abstract

Giriş: Spinal anestezi sonrası baş ağrısı, hastaları post operatif süreçte en çok rahatsız eden problemlerden biridir. Hastaların spinal anestezi planlaması yaparken yaş ve cinsiyet özellikleri, oluşabilecek baş ağrısına karşı önlem almada büyük önem arz eder. Biz de çalışmamızda retrospektif olarak spinal anestezi sonrası bağ ağrısı semptomları olan hastalarda yaş ve cinsiyet özelliklerinin oranlarını değerlendirdik.
Metod: Ocak 2016 ile Aralık 2018 arasında kliniğimize spinal sonrası baş ağrısı ile başvurmuş ve muayene ve tetkik sonrası tanısı kesinleşmiş 43 hastayı değerlendirdik.
Bulgular: Spinal anestezi sonrası baş ağrısı oranlarına bakıldığında bayan hastaların daha fazla olduğu (24 or 55.8%) ve gruplar içinde de erkek popülasyonun yaş ortalamasının daha yaşlı olduğu (38.37±11.10 vs. 31.96± 6.96 yr, mean ±SD; P = 0.026) ortaya çıkmıştır.
Sonuç: Çalışmamızda genç ve bayan hastalarda daha fazla oranda spinal sonrası baş ağrısı saptanmıştır. Bu veriler ışığında meslektaşlarımızın spinal anestezi uygulanacak hastalarda baş ağrısı oluşabilme potansiyeli olan hastaları daha rahat tanıma olasılıkları olacaktır diye düşünmekteyiz.

Keywords

Dural Ponksiyon Sonrası Baş Ağrısı, Yaş, Cinsiyet

Effects of Age and Gender on Post Dural Punctral Headache.

Abstract

Introduction: Post dural puncture headache is one of the most disturbing problems for patients in the post-operative process. When planning spinal anesthesia, age, and gender characteristics are of great importance in taking precautions against possible headaches. Our study retrospectively evaluated the proportions of age and gender characteristics in patients with headache symptoms after spinal anesthesia.
Methods: We evaluated 43 patients who applied to our clinic with post-spinal headache between January 2016 and December 2018 and whose diagnosis was confirmed after examination and diagnostic.
Results: Considering the headache rates after spinal anesthesia, female patients were more (24 or 55.8%). The male population's average age in the groups was older (38.37 ± 11.10 vs. 31.96 ± 6.96 yr, mean ± SD; P = 0.026) has emerged.
Conclusions: In our study, more post-dural puncture headache was found in young and female patients. In the light of these data, we think that our colleagues will be more likely to recognize patients who have the potential to develop headaches in patients undergoing spinal anesthesia.

Keywords

Dural Puncture, Age, Gender

References

• 1. Vilming ST, Schrader H, Monstad IJC. The significance of age, sex, and cerebrospinal fluid pressure in post‐lumbar‐puncture headache. 1989;9(2):99-106.
• 2. Wu CL, Rowlingson AJ, Cohen SR, Michaels RK, Courpas GE, Joe EM, et al. Gender and post–dural puncture headache. 2006;105(3):613-8.
• 3. Ghaleb A, Khorasani A, Mangar DJIjogm. Post-dural puncture headache. 2012;5:45.
• 4. Pjević M, Gvozdenović LJMp. Postspinal headache--incidence and prognosis. 1993;46(5-6):201.
• 5. Chan L, Delilkan AJMJM. Incidence of postdural puncture headache. A prospective study of 101 spinal anaesthetics in orthopaedic patients. 1992;47(1):20-6.
• 6. Schmittner MD, Terboven T, Dluzak M, Janke A, Limmer ME, Weiss C, et al. High incidence of post-dural puncture headache in patients with spinal saddle block induced with Quincke needles for anorectal surgery: a randomised clinical trial. 2010;25(6):775-81.
• 7. Etezadi F, Yousefshahi F, Khajavi M, Tanha F, Dahmarde A, Najafi AJJoF, et al. Post dural puncture headache after cesarean section, a teaching hospital experience. 2012:17-21.
• 8. Sarlani E, Farooq N, Greenspan JDJP. Gender and laterality differences in thermosensation throughout the perceptible range. 2003;106(1-2):9-18.
• 9. Fillingim RB, Maixner W, Kincaid S, Silva SJP. Sex differences in temporal summation but not sensory-discriminative processing of thermal pain. 1998;75(1):121-7.
• 10. Chesterton LS, Barlas P, Foster NE, Baxter GD, Wright CCJP. Gender differences in pressure pain threshold in healthy humans. 2003;101(3):259-66.
• 11. Sarlani E, Greenspan JDJP. Gender differences in temporal summation of mechanically evoked pain. 2002;97(1-2):163-9.
• 12. Paulson PE, Minoshima S, Morrow TJ, Casey KLJP. Gender differences in pain perception and patterns of cerebral activation during noxious heat stimulation in humans. 1998;76(1-2):223-9.
• 13. Adler LJ, Gyulai FE, Diehl DJ, Mintun MA, Winter PM, Firestone LLJA, et al. Regional brain activity changes associated with fentanyl analgesia elucidated by positron emission tomography. 1997;84(1):120-6.
• 14. Wise EA, Price DD, Myers CD, Heft MW, Robinson MEJP. Gender role expectations of pain: relationship to experimental pain perception. 2002;96(3):335-42.
• 15. Myles P, Hunt J, Moloney JJA. Postoperative ‘minor’complications: comparison between men and women. 1997;52(4):300-6.
• 16. Taenzer AH, Clark C, Curry CSJTJotASoA. Gender affects report of pain and function after arthroscopic anterior cruciate ligament reconstruction. 2000;93(3):670-5.
• 17. Fillingim R, editor Sex differences in analgesic responses: evidence from experimental pain models. European Journal of Anaesthesiology (EJA); 2002: LWW.
• 18. Mokri BJN. The Monro–Kellie hypothesis: applications in CSF volume depletion. 2001;56(12):1746-8.
• 19. Boezaart APJRa, medicine p. Effects of cerebrospinal fluid loss and epidural blood patch on cerebral blood flow in swine. 2001;26(5):401-6.
• 20. May A, Goadsby PJJJoCBF, Metabolism. The trigeminovascular system in humans: pathophysiologic implications for primary headache syndromes of the neural influences on the cerebral circulation. 1999;19(2):115-27.
• 21. Oláh L, Valikovics A, Bereczki D, Fülesdi B, Munkácsy C, Csiba LJJoN. Gender‐related differences in acetazolamide‐induced cerebral vasodilatory response: a transcranial Doppler study. 2000;10(3):151-6.
• 22. Karnik R, Valentin A, Winkler W-B, Khaffaf N, Donath P, Slany JrJS. Sex-related differences in acetazolamide-induced cerebral vasomotor reactivity. 1996;27(1):56-8.
• 23. Ebinger F, Kosel C, Pietz JJP. Headache and backache after lumbar puncture in children and adolescents: a prospective study. 2004;113(6):1588-92.
• 24. Geary N, Asarian LJAJoP-R, Integrative, Physiology C. Estradiol increases glucagon's satiating potency in ovariectomized rats. 2001;281(4):R1290-R4.