title: Evaluation of the effects of resting in appearance of post lumbar puncture headache.
abstract: Lumbar puncture (LP) is a procedure for obtaining spinal fluid from spinal meningeal spaces this can be done as a diagnostic or therapeutic procedure which can result in to a typical positional headache named as post lumbar puncture headache .This can cause a lot of discomforts for patients and makes fear from the procedure. This study designed to evaluate the effect of resting position after LP on post lumbar puncture headache (PLPH). Patients who had a diagnostic lumbar puncture were divided randomly in two groups .Group A patients had one hour rest in the supine position while group B patients had one hour rest in the prone position. Both groups followed for appearance of symptoms of PLPH for 5 days. 119 patients completed the study, 57 (48%) male patients and 62 (52%) female .PLPH totally appeared in 38 (31.9%) patients .In the group A PLPH was present in 20 patients whereas in group B it was present in 18 patients. Statistical analysis showed no significant differences between two groups (P>0.07). Position of rest after LP has no significant effect on reducing post lumbar puncture headache and there is no need to emphasize on position of rest after LP.
authors.affiliation: Neurophysiology Research Center, Shahed University, Tehran, Iran.. safshinmajd@yahoo.com.
authors.forename: Siamak
authors.initials: S
authors.lastname: Afshinmajd
authors.affiliation: Department of Social Medicine, Shahed University, Tehran, Iran.. safshinmajd@yahoo.com.
authors.forename: Ali
authors.initials: A
authors.lastname: Davati
authors.affiliation: Department of Psychiatry, Kashan University of Medical Sciences, Kashan, Iran.. safshinmajd@yahoo.com.
authors.forename: Afshin
authors.initials: A
authors.lastname: Ahmadvand
authors.affiliation: Department of Neurology, Ilam University of Medical Sciences, Ilam, Iran.. safshinmajd@yahoo.com.
authors.forename: Farhad
authors.initials: F
authors.lastname: Modara
authors.affiliation: Department of Psychiatry, Shahed University,Tehran , Iran.. safshinmajd@yahoo.com.
authors.forename: Masoud
authors.initials: M
authors.lastname: Moghaddamnia
authors.affiliation: Physician, Graduated from Shahed University, Tehran, Iran.. safshinmajd@yahoo.com.
authors.forename: Moslem
authors.initials: M
authors.lastname: Jaberian
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D051299:Post-Dural Puncture Headache / Q000503:physiopathology*; D012146:Rest