Post-lumbar puncture headache

Revision as of 05:14, 1 October 2011 by Jswartz (talk | contribs) (Created page with "==Background== *10-36% of pts develop HA within 24-48hrs post-LP ==Clinical Features== #Worsening with upright position and relief with recumbency ==Treatment== #Simple analges...")
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Background

  • 10-36% of pts develop HA within 24-48hrs post-LP

Clinical Features

  1. Worsening with upright position and relief with recumbency

Treatment

  1. Simple analgesics
  2. IV fluids
  3. IV caffeine
  4. Blood patch if above fails

Prevention

  1. Minimize risk by:
    1. Orienting needle bevel parallel to longitudinal fibers of dura
    2. Using smaller-bore needles
    3. Using atraumatic needles
  2. Recumbency, bedrest not effective

Source

Tintinalli

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