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Accidental Dural Puncture in Obstetric Patients and Long Term Symptoms BMJ 306:883-885, MacArthur,C.,et al, 1993 See this aricle in Pubmed Article Abstract Among the 74 women who had had an accidental dural puncture there were 17 (23%)who reported one or more of the above symptoms.By comparison,among those who had had an epidural anaesthetic but no recorded puncture,only 329(7.1%)reported these symptoms.The duration of the headache or migraine or neck ache in the dural tap group ranged from nine weeks to over eight years.Ten of these women reported still unresolved symptoms.Conclusion on causality were tentative.Most women would remember a dural tap,and this might influence their reporting of subsequent symptoms attributable to the event.In addition,detailed characterisation of the symptoms was no available.Nevertheless,the findings provide a clear indication of the need for further study of the possible long-term sequelae of accidental dural puncture.

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