[Post-lumbar puncture syndrome and spontaneous low CSF pressure syndrome].

Der Nervenarzt
M Strupp, Z Katsarava

Abstract

The major invasive procedure of the neurologist is the spinal tap. Its most frequent complication is post-lumbar puncture syndrome/headache. The syndrome's leading symptom is posture-dependent headache, which is caused by the prolonged escape of CSF from a dural leak. Its frequency lies between 1 and 30%, depending on the technique used for lumbar puncture. An important measure for reducing the risk of its occurrence is the use of a small (22-gauge), atraumatic Sprotte or Whitacre needle. The treatment of choice for the syndrome is caffeine, and if ineffective, then an epidural blood patch (at least 20 ml of the patient's own blood). Spontaneous low CSF pressure is due to a dural tear; it has the same symptoms as post-dural puncture headache, and on MRI there is a contrast enhancement of the meninges. In most cases the spontaneous low CSF pressure syndrome only is diagnosed after weeks to months. For this reason one should consider this syndrome in all cases of chronic headache. It is also treated with caffeine and an epidural blood patch. If it persists, the leak must be localized by means of radioisotope cisternography, thin-layer MRI, or CT myelography, and then the hole is closed either surgically or by CT-assisted applicat...Continue Reading

References

Jul 1, 1975·Anesthesia and Analgesia·E AbouleishT O Tio
Jan 1, 1988·European Archives of Psychiatry and Neurological Sciences·M Dieterich, T Brandt
Jan 1, 1985·European Archives of Psychiatry and Neurological Sciences·M Dieterich, T Brandt
Mar 1, 1995·Journal of Computer Assisted Tomography·E C BourekasC F Lanzieri
May 1, 1994·Journal of Neurology·B MüllerK Toyka
Dec 1, 1994·Anesthesiology·S Halpern, R Preston
Mar 15, 1994·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·E Crosby
Dec 1, 1993·Annals of Emergency Medicine·R A LeiboldK K Cantees
Oct 1, 1993·Acta Anaesthesiologica Scandinavica·T TaivainenP H Rosenberg
Apr 17, 1997·The New England Journal of Medicine·M Strupp, T Brandt
Dec 17, 1997·Cephalalgia : an International Journal of Headache·S T Vilming, R Kloster
Aug 7, 2002·Current Treatment Options in Neurology·Christine M. Lay
Sep 21, 2004·Cephalalgia : an International Journal of Headache·B MokriJ L D Atkinson
Nov 24, 2004·Neurology·S BerroirM-G Bousser
Aug 24, 2005·Neurology·Carmel ArmonUNKNOWN Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology
Mar 15, 2006·Neurology·M SavoiardoL Chiapparini
Jun 1, 2006·Current Opinion in Anaesthesiology·Robert Gaiser
Dec 12, 2007·The Journal of Headache and Pain·Wouter I SchievinkSam Torbati
Nov 22, 2011·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Daphne Stannard

❮ Previous
Next ❯

Citations

Aug 20, 2010·Der Urologe. Ausg. A·O Groll, J Peters
Jul 16, 2014·Journal of Korean Neurosurgical Society·Kun HouBo X Zhu
Apr 8, 2017·The Cochrane Database of Systematic Reviews·Ingrid Arevalo-RodriguezMarta Roqué I Figuls
Jun 10, 2016·Der Nervenarzt·A ApetroaeP D Schellinger
Mar 17, 2021·Der Schmerz·Katharina Kamm, Stefanie Förderreuther
May 29, 2021·Der Nervenarzt·Katharina Kamm, Stefanie Förderreuther

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.