Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow?

Post–Lumbar Puncture Headache

Hospital Physician June 2007 51 Lumbar puncture is a common procedure performed for diagnostic, anesthetic, and obstetric purposes; however, up to one third of patients may experience headache after the procedure.1,2 In 1898, Bier was the first to report on post–lumbar puncture headache (PLPH) after he and his associates underwent lumbar puncture themselves and experienced headaches first-hand....

Cerebral venous sinus expansion in post-lumbar puncture headache.

Cerebrospinal fluid (CSF) leak at the lumbar puncture (LP) site may induce intracranial hypotension, a common cause of post-LP headache (LPH). We present the case of an 18-year-old man who developed a severe and continuous positional headache 24 hours after LP. CT scan and MRI showed abnormal, intense, dural venous sinus enhancement, indicating a compensatory venous expansion. The patient recov...

ACTH treatment for post-lumbar puncture headache.

1. Inaba H, Kochi A, Yorozu S. Suppression by methylprednisolone of augmented plasma endotoxin-like activity and interleukin-6 during cardiopulmonary bypass. British Journal of Anaesthesia 1994; 72: 348-350. 2. Andersen L, Baek L, Thomsen B, Rasmussen J. Effect of methylprednisolone on endotoxemia and complement activation during cardiac surgery. Journal of Cardiothoracic Anesthesia 1989; 3: 54...

Impact of postdural puncture headache after diagnostic lumbar puncture

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Letter: Epidural blood patch for post-lumbar-puncture headache.