Dural ponksiyon sonrası baş ağrısını belirlemek için trombosit sayısındaki, ortalama trombosit hacmindeki ve trombosit dağılım genişliğindeki değişiklikler kullanılabilir mi?

Yıl 2021, Cilt: 4 Sayı: 1, 42 - 46, 08.06.2021

Aydın Mermer Abdullah Celep Mehmet Selçuk Uluer

Öz

Pıhtılaşma parametrelerinin iltihaplı hastalıkların bir göstergesi olduğu bilinmektedir. Bu parametrelerin dural ponksiyon sonrası baş ağrısının gelişmesinde tanı koyucu bir faktör olabileceğini bulmayı amaçladık. Bu makalede toplam 41 hasta (19 erkek, 22 kadın) incelenmiştir. Trombosit dağılım genişliği yüksek olan tüm hastalarda dural ponksiyon sonrası baş ağrısı gelişme oranı anlamlı olarak daha yüksekti (p <0.01). Diğer parametreler anlamlı değere sahip olmasa da trombosit dağılım genişliği, dural ponksiyon sonrası baş ağrısı için önemli farklılıklar gösterdi.

Anahtar Kelimeler

spinal baş ağrısı, trombosit sayısı, ortalama trombosit hacmi, trombosit dağılım genişliği

Can changes in platelet count, mean platelet volume, and platelet distribution width be used to determine the post dural puncture headache?

Öz

Coagulation parameters are known to be an indicator of inflammatory diseases. We aimed to find that These parameters may be a diagnosing factor for the development of post-dural puncture headache. This article examined a total of 41 patients (19 males, 22 females). The rate of developing a post-dural puncture headache was significantly higher for all patients with platelet distribution width (p<0.01). Although the other parameters had no significant values, platelet distribution width had significant differences for post-dural puncture headache.

Anahtar Kelimeler

post dural puncture headache, platelet count, mean platelet volume, platelet distribution width

Kaynakça

• 1. Mahoori A, Hassani E, Noroozinia H, Javaheri N, Hatami S. Theophylline versus acetaminophen in the treatment of post-dural puncture headache (PDPH). Middle East Journal of Anesthesiology. 2013;22(3):289-92.
• 2. Brown DL. Spinal, epidural, and caudal anesthesia. Miller's anesthesia. 2010:1611-38.
• 3. Mokri B. Spontaneous intracranial hypotension spontaneous CSF leaks. Headache Currents. 2005;2(1):11-22.
• 4. Ahmed S, Jayawarna C, Jude E. Post lumbar puncture headache: diagnosis and management. Postgraduate medical journal. 2006;82(973):713-6.
• 5. Strupp M, Katsarava Z. Post-lumbar puncture syndrome and spontaneous low CSF pressure syndrome. Der Nervenarzt. 2009;80(12):1509-19.
• 6. Pouskoulas CD, Taub E, Ruppen W. Successful treatment of post-dural-puncture headache with surgical dura repair two years after spinal anesthesia. Cephalalgia. 2013;33(15):1269-71.
• 7. Bezov D, Lipton RB, Ashina S. Post‐dural puncture headache: part I diagnosis, epidemiology, etiology, and pathophysiology. Headache: The Journal of Head and Face Pain. 2010;50(7):1144-52.
• 8. Song J, Breidenbach K, Duong ALP, Zhang S, Joseph V. Impact of migraine headaches and depression/anxiety on the incidence of post-dural puncture headache during postpartum course. Australasian Medical Journal. 2018;11(3).
• 9. Ona XB, Osorio D, Cosp XB. Drug therapy for treating post‐dural puncture headache. Cochrane database of systematic reviews. 2015(7).
• 10. Mirsaeidi M, Peyrani P, Aliberti S, Filardo G, Bordon J, Blasi F, et al. Thrombocytopenia and thrombocytosis at time of hospitalization predict mortality in patients with community-acquired pneumonia. Chest. 2010;137(2):416-20.
• 11. Morewood GH. A rational approach to the cause, prevention and treatment of postdural puncture headache. CMAJ: Canadian Medical Association Journal. 1993;149(8):1087.
• 12. Aydogan E, Kara I, Apiliogullari S, Celik JB, Gedik S. How does Tourniquet effect the intraocular pressure during lower extremity surgery under spinal anesthesia? KUWAIT MEDICAL JOURNAL. 2020;52(3):246-9.
• 13. Tire Y, Aydoğan E, Sargın M, Kozanhan B. Assessment of Postoperative Cognitive Dysfunction: Results From a Survey of Turkish Anaesthesiologists. Turkish Journal of Anaesthesiology and Reanimation. 2020;48(4):300.
• 14. Zhang Y, Xiao M, Zhang S, Xia P, Cao W, Jiang W, et al. Coagulopathy and antiphospholipid antibodies in patients with Covid-19. New England Journal of Medicine. 2020;382(17):e38.
• 15. Akima S, McLintock C, Hunt BJ. RE: ISTH interim guidance to recognition and management of coagulopathy in COVID‐19. Journal of Thrombosis and Haemostasis. 2020.
• 16. Kisacik B, Tufan A, Kalyoncu U, Karadag O, Akdogan A, Ozturk MA, et al. Mean platelet volume (MPV) as an inflammatory marker in ankylosing spondylitis and rheumatoid arthritis. Joint Bone Spine. 2008;75(3):291-4.