Postural headaches following interventions that disrupt meningeal integrity are most commonly labeledpostdural puncture headaches (PDPHs). This terminology has been officially adopted in the International Classification of Headache Disorders . However, use of the word postdural has been criticized as confusing² and probably inaccurate, resulting in the proposal of an alternate term, meningeal puncture headache (MPH), which readers may increasingly encounter. It is also important to acknowledge that references to “dural puncture” throughout the medical literature actually describe puncture of the dura–arachnoid and are more correctly termed and thought of as “meningeal puncture.

 Post–dural puncture headache (PDPH) is one of the most common complications encountered by physicians following spinal anesthesia or lumbar puncture.

 This study was done for evaluating the incidence of PDPH following spinal anesthesia in the south Indian population using various gauges of Quinckes spinal needle.