Presented in part at the annual S.O.A.P. Meeting, Denver, Colo, May 1999.
Sumatriptan in Patients With Postdural Puncture Headache
Article first published online: 25 DEC 2001
Headache: The Journal of Head and Face Pain
Volume 40, Issue 4, pages 316–319, April 2000
How to Cite
Connelly, N. R., Parker, R. K., Rahimi, A. and Gibson, C. S. (2000), Sumatriptan in Patients With Postdural Puncture Headache. Headache: The Journal of Head and Face Pain, 40: 316–319. doi: 10.1046/j.1526-4610.2000.00047.x
- Issue published online: 25 DEC 2001
- Article first published online: 25 DEC 2001
- Accepted for publication October 11, 1999.
- dural puncture headache;
- epidural blood patch;
Objective.–To determine the efficacy of sumatriptan in the management of patients presenting for an epidural blood patch for the management of postdural puncture headache.
Background.–Postdural puncture headache can be quite severe, requiring invasive therapy (ie, epidural blood patch). Sumatriptan has been used successfully in patients with postdural puncture headache, however, its use has not been investigated in a controlled fashion.
Methods.–Ten patients with postdural puncture headache presenting for an epidural blood patch were given either saline or sumatriptan subcutaneously. The severity of the headache was evaluated at baseline and 1 hour following injection. If the headache remained severe, an epidural blood patch was performed.
Results.–Only one patient in each group received relief from the injection.
Conclusions.–We do not recommend sumatriptan in patients who have exhausted conservative management of postdural puncture headache.