No Abstract

Diagnostic lumbar puncture is essential to the diagnosis of central nervous system infections, subarachnoid haemorrhage and others neurological diseases. Myeloradicular involvement or life-threatening adverse events due to the procedure are rare, but less severe complications are more frequent. Post-lumbar puncture headache is the most common complication, by spinal fluid leakage due to delayed...

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...

BACKGROUND Lumbar epidural blood patch (EBP) is a common treatment of post-dural puncture headache, but its effectiveness and mode of action remain a matter of debate. The aim of this study was to assess both the effectiveness and the predictive factors of failure of EBP on severe post-dural puncture headache. METHODS This prospective observational study includes all patients treated in the a...

The aetiology of headache after lumbar puncture is related to the hole left in the dura after the needle has been withdrawn, which allows the cerebrospinal fluid to leak out of the subarachnoid space. The headache can persist for prolonged periods and predispose to subdural haematomas, which are associated with a high mortality. Tourtellotte showed that this headache could be significantly redu...

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...

BACKGROUND Post-dural puncture headache (PDPH) due to excessive cerebrospinal fluid (CSF) leakage is a well-known complication of lumbar puncture. Although various factors, especially the type of spinal needle, have been demonstrated to be associated with PDPH, the clinical implications of CSF leakage detected on magnetic resonance myelography (MRM) images remain unclear. The objective of this ...