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           Anahtar kelimeler: Spinal anestezi, komplikasyon, baş ağrısı. 

  

 

 

 

 

 

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EVALUATION OF HEADACHE AND OTHER COMPLICATIONS 

AFTER SPINAL ANESTHESIA: RESULTS OF A TERTIARY CENTER 

 

SUMMARY 

 

In our study, 256 cases -who were operated with spinal anesthesia method between 

May 1, 2006 and November 15, 2006 in Anesthesiology deportment in the School of 

Medicine, Trakya University, Edirne, Turkey- were retrospectively investigated for post-

spinal headache and for other complications. Data were collected from case files, anesthesia 

documents, and via interviews or phone calls with the patients. 

From the files and the documents; age, gender, height, weight, operation clinic, 

operation reason, the spinal gap injection applied, the local anesthetic substance used, and the 

dose of crystalloid and colloid given during the operation were recorded. 

In the interviews and the phone calls; whether headache occurred or not after the 

operation done with spinal anesthesia, -if occurred- when it occurred, where it occurred 

(frontal, occipital, widespread), whether it increased when standing, whether it decreased 

while lying, and when the patient stood up after operation were investigated. Poor eyesight, 

diplopia (double vision), blurred vision, tinnitus, hearing loss, backache or and lumbago, 

difficulty in urination, intestinal sufferings, and decrease in sexual activity were also 

questioned. 

In the retrospective investigation of 256 cases for post-spinal headache and for the 

other complications, who were applied with 22-gauge needle from the L

3-4

, L

4-5

 gap; a total of 

27 complications were observed: post-spinal headache in 16 (6,9%), backache and lumbago in 

5 (1,95%), difficulty in urination in 3 (1,17%), intestinal sufferings in 2 (0,78%), and decrease 

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in sexual activity in 1 (0,59%) case. Diplopia, poor eyesight, tinnitus, or hearing loss was not 

abserved in the cases. 

It was determined that PSBA was significantly more often at younger ages (age 

average: 34,81 years) (p<0,05). No significant difference was observed between gender, 

operation gap, first standing up time and PSBA. 

           In  conclusion,  PSBA  –determined as observed in a rate of 6,9%– was found out to 

occur more often in younger cases; and colloid use and bedrest were thought to be effective in 

preventing headache.