Postdural puncture headache: impact of needle type, a randomized trial

The Spine Journal : Official Journal of the North American Spine Society
Ana CastrilloJacinto Duarte

Abstract

The most common adverse event after a lumbar puncture (LP) is a headache: In anaesthesiology, well studied is the protective effect of atraumatic spinal needles, and they are routinely used. However, this is less well known in diagnostic LP, and neurologists use atraumatic needles in less than 2% of times. The purpose of this study was to define the impact of needle type, atraumatic (Sprotte [S]) versus traumatic (Quincke [Q]) on postdural puncture headache (PDPH) incidence. The study is based on a prospective, randomized, and simple-blinded clinical trial. Patients older than 14 years were scheduled for a diagnostic or therapeutic LP. The outcome measure included the development of PDPH according to the International Headache Association criteria. Patients fulfilling eligibility criteria were randomly allocated to one of two kinds of spinal needle: atraumatic or S-type or traumatic or Q-type. They were interviewed on days 2 and 7 about the development of PDPH. The incidence of PDPH was 22.43% with Q-type needle and 8.51% with S-type needle, p=.04. The duration of PDPH in patients in the S-type was 1 day or less, compared with a median of 4.14 days in the Q-type (p=.00). In the logistic regression model, the S-type needle toget...Continue Reading

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Citations

Apr 8, 2017·The Cochrane Database of Systematic Reviews·Ingrid Arevalo-RodriguezMarta Roqué I Figuls
Feb 15, 2018·Current Pain and Headache Reports·Shawn C Aylward, Amanda L Way
Jan 31, 2020·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J SalzerA Svenningsson
Jun 13, 2017·Alzheimer's & Dementia : Diagnosis, Assessment & Disease Monitoring·Sebastiaan EngelborghsCharlotte E Teunissen
Mar 24, 2018·AJNR. American Journal of Neuroradiology·D R NasceneJ B Rykken
Sep 26, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Lea Normand Nielsen, Marianne Vamosi
Dec 10, 2020·Perioperative Medicine·Bedilu Girma WejiGedion Asnake Azeze
Mar 7, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jung Eun KimJae Hun Kim
Apr 21, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Robinson YuVikas Agarwal

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