Characterising the patient experience of diagnostic lumbar puncture in idiopathic intracranial hypertension: a cross-sectional online survey.

BMJ Open
William J ScottonAlexandra J Sinclair

Abstract

Patients with idiopathic intracranial hypertension (IIH) usually require multiple lumbar punctures (LPs) during the course of their disease, and often report significant morbidity associated with the procedure. The aim of this study was to assess the patient's experience of diagnostic LP in IIH. A cross-sectional study of patients with IIH was conducted using an anonymous online survey, with the questions designed in collaboration with IIH UK (the UK IIH charity). Responses were collated over a 2-month period from April to May 2015. Patients were asked to quantify responses using a Verbal Rating Score (VRS) 0-10 with 0 being the minimum and 10 the maximum score. 502 patients responded to the survey, of which 463 were analysed for this study. 40% of patients described severe pain during the LP (VRS ≥8), and the median pain score during the LP was 7 (VRS, IQR 5-7). The majority of patients felt they received insufficient pain relief (85%). Levels of anxiety about future LPs were high (median VRS 7, IQR 4-10), with 47% being extremely anxious (VRS ≥8). LPs performed as an emergency were associated with significantly greater pain scores compared with elective procedures (median 7, IQR 5-7 vs 6, IQR 4-8, p=0.012). 10.7% went on to h...Continue Reading

Citations

Aug 30, 2018·Practical Neurology·Susan P MollanAlexandra J Sinclair
Mar 16, 2019·Practical Neurology·Susan P MollanAlexandra J Sinclair
Sep 10, 2020·Ophthalmology and Therapy·Jasvir VirdeeSusan P Mollan
Jul 18, 2020·Clinical Medicine : Journal of the Royal College of Physicians of London·Benjamin R WakerleyAlexandra J Sinclair
Dec 15, 2018·Current Opinion in Neurology·Susan P MollanAlexandra J Sinclair
Oct 10, 2018·The Journal of Headache and Pain·Jan HoffmannAlexandra J Sinclair
Mar 14, 2019·Current Opinion in Neurology·James L MitchellAlexandra J Sinclair
Nov 18, 2020·British Medical Bulletin·Susan P MollanAlexandra J Sinclair
May 29, 2021·Expert Review of Neurotherapeutics·Susan P Mollan, Alexandra J Sinclair
Aug 7, 2021·Life·Rigmor Højland JensenDagmar Beier

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