{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T22:41:00Z","timestamp":1793140860727,"version":"4.5.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neuroradiol J"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Post-dural puncture headache (PDPH) is potential complication after procedures with dural puncture. This study analyzes how patient and procedural factors are related to the development of PDPH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Demographic and procedural data were extracted from the electronic medical record in patients undergoing a dural puncture procedure from 1\/1\/2020 to 12\/31\/2020. Procedural variables were extracted from procedure reports including spinal level, number of punctures, any reported complications, needle type, and gauge. Fisher-exact test, with a subgroup analysis, and multivariable logistic regression were used to analyze the association of variables with the development of a PDPH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1237 procedures with 1005 patients were identified. The mean age was 56.9 \u00b1 16.4 years, mean BMI was 31.0 \u00b1 7.8\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , and 534 (53.1%) identified as female. Seventy-four (7.3%) patients developed a PDPH with mean onset of 1.9 \u00b1 1.9 days post-procedure. The likelihood of PDPH was significantly positively associated with both patient characteristics such as female sex (OR = 2.657, 95%CI [1.529,4.617],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001), BMI above 25\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (OR = 2.609, 95%CI [1.177,5.786],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .015), and history of chronic tension headaches (OR = 2.943, 95%CI [1.688,5.130],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .0003), as well as procedural characteristics such as decreasing gauge (OR = 1.124, 95%CI [1.111,1.136],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .0001), higher opening pressure (mean difference = \u22126.288 \u00b1 2.119.\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This retrospective study of fluoroscopy-guided dural puncture procedures shows that the incidence of PDPH is associated with several patient and procedural characteristics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19714009251345109","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T08:06:56Z","timestamp":1751270816000},"page":"231-237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Factors associated with post-dural puncture headache: A single-center retrospective review"],"prefix":"10.1177","volume":"39","author":[{"given":"Rahim","family":"Ismail","sequence":"first","affiliation":[{"name":"University of Rochester Medical Center 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