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06 February 2026 : Clinical Research  

Association of Preoperative Neutrophil-to-Lymphocyte Ratio With Post-Dural Puncture Headache After Cesarean Delivery

Erkan Bayram ORCID logo ABCDEF 1*, İlke Dolğun ACEF 2

DOI: 10.12659/MSM.952396

Med Sci Monit 2026; 32:e952396

Table 1 Demographic characteristics and preoperative inflammatory indices in patients.

VariablePDPH (+)PDPH (−)P value
NLR (median [IQR])2.63 (2.26–3.13)3.82 (3.22–4.61)<0.001*
PLR (median [IQR])126.79 (103.87–150.64)127.75 (102.49–157.84)0.729
MLR (median [IQR])0.31 (0.23–0.40)0.31 (0.24–0.39)0.8891
Age (mean±sd)28.6±4.328.0±4.40.114
BMI (mean±sd)30.1±3.230.6±3.00.188
SIRI (median [IQR])1.60 (1.15–2.13)2.08 (1.60–2.78)<0.001*
The data are presented as mean±standard deviation (SD) for normally distributed variables (age and BMI, compared using the test) and as median (interquartile range [IQR]) for non-normally distributed variables (NLR, PLR, MLR, and SIRI, compared using Mann-Whitney U test). PDPH (+): n=133; PDPH (−): n=688. BMI – body mass index; PDPH – post-dural puncture headache; NLR – neutrophil-to-lymphocyte ratio; PLR – platelet-to-lymphocyte ratio; MLR – monocyte-to-lymphocyte ratio; SIRI – systemic inflammation response index.
* Statistically significant at

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750