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Clinical Significance

As most cases of PDPH's resolve spontaneously within 7 to 10 days, some patients may opt for conservative treatment rather than EBP.It is administered as 500 mg sodium caffeine benzoate in 1000 mL of NS or LR over 1 to 2 hours.Also, those patients that are extremely symptomatic (some cephalgia even when supine and cannot tolerate any degree of upright positioning, tearful or crying at rest, photophobia) will likely consent to EBP with or without conservative treatment.A patient who chooses conservative therapy should keep well hydrated and consume caffeine-containing beverages and oral analgesics as necessary at home.

Clinical Significance

As most cases of PDPH's resolve spontaneously within 7 to 10 days, some patients may opt for conservative treatment rather than EBP. These include limiting upright position, hydration, oral analgesics, and intravenous or oral caffeine. Caffeine is a cerebral vasoconstrictor. It is administered as 500 mg sodium caffeine benzoate in 1000 mL of NS or LR over 1 to 2 hours. This, however, generally produces short-term relief. A patient who chooses conservative therapy should keep well hydrated and consume caffeine-containing beverages and oral analgesics as necessary at home.

The majority of patients who elect to have EBP are those that cannot minimize activity, for example, recent parturients with newborns or younger patients. Also, those patients that are extremely symptomatic (some cephalgia even when supine and cannot tolerate any degree of upright positioning, tearful or crying at rest, photophobia) will likely consent to EBP with or without conservative treatment.