Assessment: Prevention of Post–lumbar Puncture Headaches
نویسندگان
چکیده
Headache (HA) is a common sequel to lumbar puncture (LP), whether performed for diagnosis or anesthesia. In their monograph summarizing the world literature through 1960, Tourtellotte et al. considered separately three principal patient populations: 1) patients undergoing diagnostic LPs (excluding myelography, pneumoencephalography, and cisternal puncture), excluding also patients whose condition might reduce the reliability to report HA; 2) patients undergoing nonobstetric spinal anesthesia; and 3) patients undergoing obstetric spinal anesthesia. They reported several observations.
منابع مشابه
Assessment: prevention of post-lumbar puncture headaches: report of the therapeutics and technology assessment subcommittee of the american academy of neurology.
Review of the literature on prevention of post-lumbar puncture headaches (PLPHAs) since the publication of the original assessment in 2000 yielded one study comparing use of cutting to atraumatic needles in diagnostic lumbar punctures, providing Class I evidence in favor of the atraumatic needle. Taken in conjunction with data from most studies in the anesthesiology literature, the Therapeutics...
متن کاملAddendum to assessment: prevention of post-lumbar puncture headaches: report of the TTAS of the AAN.
Review of the literature on prevention of post–lumbar puncture headaches (PLPHAs) since the publication of the original assessment in 2000 yielded one study comparing use of cutting to atraumatic needles in diagnostic lumbar punctures, providing Class I evidence in favor of the atraumatic needle. Taken in conjunction with data from most studies in the anesthesiology literature, the Therapeutics...
متن کاملOpinion on Why should we use atraumatic needles in lumbar puncture?, by SLA Matas.
Dear editors, In his recent paper published in this journal, Matas addresses one important and well-studied aspect of postdural puncture headache prevention, i.e., the use of atraumatic spinal needles. On the other hand, when focusing on standard post-lumbar puncture recommendations, particularly 24 hours bed rest and controlled fluid ingestion, the author refers to four papers in which not onl...
متن کاملLumbar puncture headache in relation to sex, age, and cerebrospinal fluid findings.
Post-lumbar puncture headaches are recognized as being a hazard in the diagnosis and management of patients suffering from syphilis. Much work has been done in the past, and is still being done, to reduce their incidence. There are certain factors which have a definite influence in reducing the number of headaches after lumbar puncture, the most important being the skill of the operator. Allen ...
متن کاملSubstance P concentration and history of headache in relation to postlumbar puncture headache: towards prevention.
Medical treatment of postlumbar puncture headache (post-LP HA) is often difficult and ineffective. Prevention would be preferable to more invasive procedures, including blood patch. The aim was to determine the incidence of post-LP HA in two suspected high risk groups compared with the general outpatient population. Based on previous research, it was hypothesised that a low substance P concentr...
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تاریخ انتشار 2003