Risk factors for post lumbar puncture headache

Clinical Neurology and Neurosurgery
Alexander KhlebtovskyShlomit Yust-Katz

Abstract

Lumbar puncture (LP) is complicated by headache in about one-third of patients. The aim of the study was to evaluate potential risk factors for post-LP headache. 144 Patients undergoing diagnostic LP at a tertiary medical center completed questionnaires on fear of the procedure, pre-existing headache, and post-LP headache. Data on patient demographics, operator experience, and other procedure-related parameters were collected from hospital files. The post-LP headache group (n=37, 27.6%) was characterized by a significantly younger age and higher proportion of women relative to the no-headache group (n=97); body mass index was similar. Both groups had similar levels of fear of the procedure and there was no correlation between intensity of patients' anxiety to the procedure and its occurrence. Patients with high opening pressure had higher levels of post-LP headache (28.6% vs. 18% p=0.078) and a history of headaches was significantly more prevalent in the post-LP-headache group (66.6% vs. 38.1%, p=0.003). Fear of the procedure does not predispose to occurrence of post-LP headache while a history of headache and elevated intracranial pressure does. These findings may be related to the possible pathophysiology of the condition, na...Continue Reading

References

Jun 1, 1967·Psychosomatic Medicine·G Kaplan
May 1, 1993·Neurology·S C PannulloJ B Posner
Nov 10, 2001·Journal of the Neurological Sciences·D N Levine, O Rapalino
Aug 26, 2006·Anesthesiology·Christopher L WuSpencer S Liu
Sep 1, 1948·Brain : a Journal of Neurology·G W PICKERING
Jun 19, 2013·Cephalalgia : an International Journal of Headache·UNKNOWN Headache Classification Committee of the International Headache Society (IHS)

❮ Previous
Next ❯

Citations

Sep 12, 2017·Alzheimer Disease and Associated Disorders·Krista L MoulderJohn C Morris
Oct 1, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Srdjan Ljubisavljevic
Sep 26, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Lea Normand Nielsen, Marianne Vamosi

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.