Spinal anaesthesia remains one of the basic techniques in the arsenal of the modern anaesthesiologist despite the waxing and waning of its popularity over the 100 years since its introduction in to clinical practice.

Spinal anaesthesia is used extensively for lower abdominal and lower extremity surgeries because it has distinct advantages over general anaesthesia, minimum physiological disturbance resulting in minimum stress response, optimal operative conditions, minimal intraoperative blood loss and less postoperative morbidity, it is often associated with significant adverse effects like hypotension, bradycardia and post dural puncture headache (PDPH).

Ever since its advent, the spread of popularity of spinal anaesthesia has to some extent, been checked by the complications of PDPH.

Post dural puncture headache was first documented by German surgeon

August Bier in 1899. Bier also gained first‐hand experience of the disabling headache related to dural puncture. Headache and backache are the dominant symptoms that develop after post dural puncture. Ninety per cent of headaches will occur within 2-3 days of the procedure.

Headache is the predominant and described as severe, ‘searing and spreading like hot metal¹â€™.The common distribution is over the frontal and occipital areas radiating to the neck and shoulders. The temporal, vertex and nuchal areas are reported less commonly as the site of discomfort, although neck stiffness may be