title: A simple treatment of post-lumbar-puncture headache.
abstract: We report a case of post-lumbar-puncture headache successfully treated with intravenous caffeine sodium benzoate. The patient presented to the emergency department with a severe headache three days after a myelogram of the lumbar region. Caffeine sodium benzoate (500 mg) in 1 liter of fluid (D5LR) intravenously over one and a half hours was administered. The patient reported complete resolution of symptoms and no recurrence of headache. Caffeine sodium benzoate is a simple treatment of post-lumbar-puncture headaches. It should be considered as a safe alternative to an epidural blood patch for the treatment of post-lumbar-puncture headaches.
authors.affiliation: Emergency Department, Memorial Hospital of Laramie County, Cheyenne, Wyoming.
authors.forename: C D
authors.initials: CD
authors.lastname: Ford
authors.forename: D C
authors.initials: DC
authors.lastname: Ford
authors.forename: M D
authors.initials: MD
authors.lastname: Koenigsberg
mesh_terms: D000328:Adult; D001565:Benzoates / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use*; D002110:Caffeine / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use*; D004338:Drug Combinations / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D005260:Female; D006261:Headache / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D007262:Infusions, Intravenous; D013129:Spinal Puncture / Q000009:adverse effects*
chemical_list: D001565:Benzoates; D004338:Drug Combinations; D002110:Caffeine; C025741:caffeine, sodium benzoate drug combination