Evaluation of the Effects of Resting in Appearance of Post Lumbar Puncture Headache
-
Siamak Afshinmajd
,
Ali Davati
,
Afshin Ahmadvand
,
Farhad Modara
,
Masoud Moghaddamnia
,
Moslem Jaberian
Abstract
Lumbar puncture (LP) is a procedure for obtaining spinal fluid from spinal meningeal spaces this can be done as a diagnostic or therapeutic procedure which can result in to a typical positional headache named as post lumbar puncture headache .This can cause a lot of discomforts for patients and makes fear from the procedure. This study designed to evaluate the effect of resting position after LP on post lumbar puncture headache (PLPH). Patients who had a diagnostic lumbar puncture were divided randomly in two groups .Group A patients had one hour rest in the supine position while group B patients had one hour rest in the prone position. Both groups followed for appearance of symptoms of PLPH for 5 days. 119 patients completed the study, 57 (48%) male patients and 62 (52%) female .PLPH totally appeared in 38 (31.9%) patients .In the group A PLPH was present in 20 patients whereas in group B it was present in 18 patients. Statistical analysis showed no significant differences between two groups (P>0.07). Position of rest after LP has no significant effect on reducing post lumbar puncture headache and there is no need to emphasize on position of rest after LP.
Turnbull DK, Shepherd DB. Post-dural puncture headache:, pathogenesis, prevention and treatment. Br J Anaesth 2003;91(5):718-29.
Pearce JM. Walter essex wynter, Quincke and lumbar puncture. J Neurol Neurosurg Psychiatry 1994;57(2):179.
Farley A, McLafferty E. Lumbar puncture. Nurs Stand 2008;22 (22):46-8.
Vetter WR. Post-lumbar puncture headache. West J Med 1989;150(1):93.
Gordon H, Morewood BA. A rational approach to the cause,prevention and treatment of post dural puncture headache. CAN MED ASSOC J 1993;149(8):1087-93
Grygorczuk S, Pancewicz S, Zajkowska J, et al. Postlumbar puncture syndrome--its pathogenesis, prophylaxis and treatment. Neurol Neurochir Pol 2006;40(5):434-40.
Ahmed SV, Jayawarna C, Jude E. Post lumbar puncture headache: diagnosis and management. Postgrad Med J 2006;82(973):713-6.
Raymond JR, Raymond PA. Post-lumbar puncture headache. Etiology and management. West J Med 1988;148(5):551-4.
Casey WF. Post lumbar puncture headache. J R Soc Med 1982;75(9):752-3.
Sharma R, Bailey A, Bamber J. Post-dural puncture headache. Br J Anaesth 2004;92(3):449-50.
Lin W, Geiderman J. Myth: fluids, bed rest, and caffeine are effective in preventing and treating patients with postlumbarpuncture headache. West J Med 2002;176(1):69-70.
Reamy BV. Post-epidural headache: how late can it occur? J Am Board Fam Med 2009;22(2):202-5.
Oedit R, van KF, Bakker SL, Dippel DW. Efficacy of the epidural blood patch for the treatment of post lumbar puncture headache BLOPP: a randomised, observer-blind, controlled clinical trial [ISRCTN 71598245]. BMC Neurol 2005;5(1):12.
Aldrete JA, Barrios-Alarcon J. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth 2004;92(5):767-8.
Handler CE, Smith FR, Perkin GD, Rose FC. Posture and lumbar puncture headache: a controlled trial in 50 patients. J R Soc Med 1982;75(6):404-7.
Seza A, Ates D, Gok F. Needle diameter and design influence post dural puncture headache rate in children. Paediatr Anaesth 2008;18(12):1218.
Williams J, Lye DC, Umapathi T. Diagnostic lumbar puncture: minimizing complications. Intern Med J 2008;38(7):587-91.
Kuczkowski KM. Postdural puncture headache after lumbar puncture: do the gauge and the design of a spinal needle matter? Am J Emerg Med 2006;24(6):757.
Luostarinen L, Heinonen T, Luostarinen M, Salmivaara A. Diagnostic lumbar puncture. Comparative study between 22-gauge pencil point and sharp bevel needle. J Headache Pain 2005;6(5):400-4.
Takahashi K, Mima T. Cerebrospinal fluid leakage after radioisotope cisternography is not influenced by needle size at lumbar puncture in patients with intracranial hypotension. Cerebrospinal Fluid Res 2009;6:5.
Lavi R, Rowe JM, Avivi I. Traumatic vs. atraumatic 22 Gneedle for therapeutic and diagnostic lumbar puncture in the hematologic patient: a prospective clinical trial. Haematologica 2007;92(7):1007-8.
Malhotra SK, Iyer BA, Gupta AK, Raghunathan M, Nakra D. Spinal analgesia and auditory functions: a comparison of two sizes of Quincke needle. Minerva Anestesiol 2007;73(7-8):395-9.
Deibel M, Jones J, Brown M. Best evidence topic report: reinsertion of the stylet before needle removal in diagnostic lumbar puncture. Emerg Med J 2005;22(1):46.
Seupaul RA, Somerville GG, Viscusi C, Shepard AJ, Hauter WE. Prevalence of postdural puncture headache after ED performed lumbar puncture. Am J Emerg Med 2005;23(7):913-5.
Gonzalez DP. Lumbar puncture headache exacerbated by recumbent position. Mil Med 2000;165(9):vi,690.
Ropper AH, Samuels MA. Adams and Victor's Principles of neurology. 9th ed. New York: Mc Graw Hill; 2009.chapter30,disturbances of cerebrospinal fluid;p.606-7
Hagberg H. [Plane position after lumbar puncture is still to be recommended in intrathecal administration of cytostatics]. Lakartidningen 2004;101(12):1122.
Kadrie H, Driedger AA, McInnis W. Persistent dural cerebrospinal fluid leak shown by retrograde radionuclide myelography: case report. J Nucl Med 1976;17(9):797-9.
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| Issue | Vol 52, No 1 (2014) | |
| Section | Articles | |
| Keywords | ||
| Headache Lumbar puncture Prone Position Rest | ||
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