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Our findings suggest that oral and intravenous hydration of patients within the 24 h before puncture prevented PLPH. The changes of TCD parameters partially confirm the theory of PLPH pathogenesis as a consequence of cerebrospinal fluid leakage through the post-puncture opening, with subsequent vasodilatation and ICP decrease. A history of headaches, low baseline values of PI, and high Vm predispose patients to PLPH occurrence.
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