[Post-lumbar puncture headache].
The postdural puncture headache is a frequent iatrogenic complication due to an excessive leakage of cerebrospinal fluid. The leak through the dural perforation mainly depends on the size and design of the needle. The diagnostic is based on the notion of dural puncture, headache worsening in upright posture and other symptoms as neck stiffness, tinnitus, hypacusia, photophobia or nausea. Symptoms resolve spontaneously within 1 week or within 48 hours after autologous epidural blood patch. Prevention is based on using small-gauge pencil-point needles whereas the duration of bed rest has no effect on the incidence of postlumbar puncture headache.
Rodriques
Antonio Monteiro
AM
Service d'accueil et traitement des urgences, centre hospitalier universitaire, Angers Cedex.
Roy
Pierre-Marie
PM
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D017217:Blood Patch, Epidural; D016022:Case-Control Studies; D002555:Cerebrospinal Fluid; D015331:Cohort Studies; D018849:Controlled Clinical Trials as Topic; D004388:Dura Mater / Q000293:injuries; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D015994:Incidence; D008297:Male; D009339:Needles; D051299:Post-Dural Puncture Headache / Q000188:drug therapy / Q000517:prevention & control / Q000628:therapy; D011187:Posture; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D012737:Sex Factors; D013129:Spinal Puncture / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D013997:Time Factors