Prophylactic blood patch does not prevent post lumbar puncture headache

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

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....

Does Immediate Mobilization Increase Post Lumbar Puncture - Headache ?

OBJECTIVE: To determine if immediate mobilization after lumbar puncture (LP) increases the incidence of post lumbar puncture headache (PLPHA). BACKGROUND: PLPHA occurs commonly: the average frequency of PLPHA in patients after diagnostic LP has been reported to be about 30%. There are no convincing studies to show that bed rest after LP reduces PLPHA. The benefit of bed rest to prevent PLPHA re...

Experience of epidural blood patch for post-dural puncture headache.

Post-dural puncture headache is a common outcome following either spinal or epidural anesthesia. Cases were collected within five years' period (1988-1992) in Keelung Chang Gung Memorial Hospital. Those cases with relief of post-dural puncture headache after conservative treatment were excluded. There were 159 cases, 128 female patients and 31 male patients. Age ranged from 16-63 yrs. Post-dura...

Efficacy of a prophylactic epidural blood patch in preventing post dural puncture headache in parturients after inadvertent dural puncture.

BACKGROUND Postdural puncture headache (PDPH) occurs in up to 80% of parturients who experience inadvertent dural puncture during epidural catheter placement. The authors performed a randomized double blind study to assess the effect of prophylactic epidural blood patch on the incidence of PDPH and the need for therapeutic epidural blood patch. METHODS Sixty-four parturients who incurred inad...