Post-myelogram headache--physiological or psychological?
Psychological aspects of post-lumbar puncture headache have hitherto received little attention. A hundred consecutive patients admitted for elective myelography were studied. Post-myelogram headache was assessed by an independent observer and found to be strongly associated with normality of the test (P less than 0.001). Psychological testing showed a trend between Hospital Anxiety Depression score and normality of myelogram as well as development of headache, although this did not achieve statistical significance. This study suggested that there is a large psychological as well as organic component to post-myelogram headache.
Lee
T
T
Department of Neurosurgery, Radcliffe Infirmary, Oxford, UK.
Maynard
N
N
Anslow
P
P
McPherson
K
K
Briggs
M
M
Northover
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000150:complications; D003863:Depression / Q000150:complications; D005260:Female; D006261:Headache / Q000209:etiology* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009192:Myelography / Q000009:adverse effects* / Q000523:psychology; D011187:Posture; D013129:Spinal Puncture / Q000009:adverse effects