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Headache following lumbar puncture

MedGen UID:
82851
•Concept ID:
C0270697
•
Sign or Symptom
Synonym: Post-Lumbar Puncture Headache
SNOMED CT: Headache following lumbar puncture (398987004); Lumbar puncture headache (398987004); Postspinal headache (398987004); Post-lumbar puncture headache (398987004); Spinal headache (398987004)

Definition

Headache in erect position, after lumbar puncture; due to lowering of intracranial pressure by leakage of cerebrospinal fluid through the needle tract. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHeadache following lumbar puncture

Professional guidelines

PubMed

Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report.
Uppal V, Russell R, Sondekoppam R, Ansari J, Baber Z, Chen Y, DelPizzo K, Dîrzu DS, Kalagara H, Kissoon NR, Kranz PG, Leffert L, Lim G, Lobo CA, Lucas DN, Moka E, Rodriguez SE, Sehmbi H, Vallejo MC, Volk T, Narouze S
JAMA Netw Open 2023 Aug 1;6(8):e2325387. doi: 10.1001/jamanetworkopen.2023.25387. PMID: 37581893
Postdural Puncture Headache-Risks and Current Treatment.
Li H, Wang Y, Oprea AD, Li J
Curr Pain Headache Rep 2022 Jun;26(6):441-452. Epub 2022 Mar 30 doi: 10.1007/s11916-022-01041-x. PMID: 35353358
Clinical Presentation, Investigation Findings, and Treatment Outcomes of Spontaneous Intracranial Hypotension Syndrome: A Systematic Review and Meta-analysis.
D'Antona L, Jaime Merchan MA, Vassiliou A, Watkins LD, Davagnanam I, Toma AK, Matharu MS
JAMA Neurol 2021 Mar 1;78(3):329-337. doi: 10.1001/jamaneurol.2020.4799. PMID: 33393980Free PMC Article

Recent clinical studies

Etiology

Atraumatic versus traumatic lumbar puncture needles: a systematic review and meta-analysis protocol.
Nath S, Badhiwala JH, Alhazzani W, Nassiri F, Belley-Cote E, Koziarz A, Shoamanesh A, Banfield L, Oczkowski W, Sharma M, Sahlas D, Reddy K, Farrokhyar F, Singh S, Sharma S, Zytaruk N, Selim M, Almenawer SA
BMJ Open 2017 Mar 31;7(3):e014478. doi: 10.1136/bmjopen-2016-014478. PMID: 28363928Free PMC Article
Diagnostic and therapeutic lumbar puncture performed safely and efficiently with a thin blunt needle.
Møller A, Afshari A, Bjerrum OW
Dan Med J 2013 Sep;60(9):A4684. PMID: 24001459
Headache rate and cost of care following lumbar puncture at a single tertiary care hospital.
Dakka Y, Warra N, Albadareen RJ, Jankowski M, Silver B
Neurology 2011 Jul 5;77(1):71-4. Epub 2011 May 18 doi: 10.1212/WNL.0b013e318220abc0. PMID: 21593442
Post lumbar puncture headache: is bed rest essential?
Vimala J, Peter JV, Jeyaseelan L, Prabhakar S, Cherian AM
J Assoc Physicians India 1998 Nov;46(11):930-2. PMID: 11229216
Theophylline relieves headache following lumbar puncture. Placebo-controlled, double-blind pilot study.
Feuerstein TJ, Zeides A
Klin Wochenschr 1986 Mar 3;64(5):216-8. doi: 10.1007/BF01711650. PMID: 3517473

Diagnosis

Atraumatic versus traumatic lumbar puncture needles: a systematic review and meta-analysis protocol.
Nath S, Badhiwala JH, Alhazzani W, Nassiri F, Belley-Cote E, Koziarz A, Shoamanesh A, Banfield L, Oczkowski W, Sharma M, Sahlas D, Reddy K, Farrokhyar F, Singh S, Sharma S, Zytaruk N, Selim M, Almenawer SA
BMJ Open 2017 Mar 31;7(3):e014478. doi: 10.1136/bmjopen-2016-014478. PMID: 28363928Free PMC Article
Diagnostic and therapeutic lumbar puncture performed safely and efficiently with a thin blunt needle.
Møller A, Afshari A, Bjerrum OW
Dan Med J 2013 Sep;60(9):A4684. PMID: 24001459
Theophylline relieves headache following lumbar puncture. Placebo-controlled, double-blind pilot study.
Feuerstein TJ, Zeides A
Klin Wochenschr 1986 Mar 3;64(5):216-8. doi: 10.1007/BF01711650. PMID: 3517473

Therapy

Atraumatic versus traumatic lumbar puncture needles: a systematic review and meta-analysis protocol.
Nath S, Badhiwala JH, Alhazzani W, Nassiri F, Belley-Cote E, Koziarz A, Shoamanesh A, Banfield L, Oczkowski W, Sharma M, Sahlas D, Reddy K, Farrokhyar F, Singh S, Sharma S, Zytaruk N, Selim M, Almenawer SA
BMJ Open 2017 Mar 31;7(3):e014478. doi: 10.1136/bmjopen-2016-014478. PMID: 28363928Free PMC Article
Diagnostic and therapeutic lumbar puncture performed safely and efficiently with a thin blunt needle.
Møller A, Afshari A, Bjerrum OW
Dan Med J 2013 Sep;60(9):A4684. PMID: 24001459
Headache rate and cost of care following lumbar puncture at a single tertiary care hospital.
Dakka Y, Warra N, Albadareen RJ, Jankowski M, Silver B
Neurology 2011 Jul 5;77(1):71-4. Epub 2011 May 18 doi: 10.1212/WNL.0b013e318220abc0. PMID: 21593442
Post lumbar puncture headache: is bed rest essential?
Vimala J, Peter JV, Jeyaseelan L, Prabhakar S, Cherian AM
J Assoc Physicians India 1998 Nov;46(11):930-2. PMID: 11229216
Theophylline relieves headache following lumbar puncture. Placebo-controlled, double-blind pilot study.
Feuerstein TJ, Zeides A
Klin Wochenschr 1986 Mar 3;64(5):216-8. doi: 10.1007/BF01711650. PMID: 3517473

Prognosis

Headache rate and cost of care following lumbar puncture at a single tertiary care hospital.
Dakka Y, Warra N, Albadareen RJ, Jankowski M, Silver B
Neurology 2011 Jul 5;77(1):71-4. Epub 2011 May 18 doi: 10.1212/WNL.0b013e318220abc0. PMID: 21593442

Clinical prediction guides

Atraumatic versus traumatic lumbar puncture needles: a systematic review and meta-analysis protocol.
Nath S, Badhiwala JH, Alhazzani W, Nassiri F, Belley-Cote E, Koziarz A, Shoamanesh A, Banfield L, Oczkowski W, Sharma M, Sahlas D, Reddy K, Farrokhyar F, Singh S, Sharma S, Zytaruk N, Selim M, Almenawer SA
BMJ Open 2017 Mar 31;7(3):e014478. doi: 10.1136/bmjopen-2016-014478. PMID: 28363928Free PMC Article
Headache rate and cost of care following lumbar puncture at a single tertiary care hospital.
Dakka Y, Warra N, Albadareen RJ, Jankowski M, Silver B
Neurology 2011 Jul 5;77(1):71-4. Epub 2011 May 18 doi: 10.1212/WNL.0b013e318220abc0. PMID: 21593442
Post lumbar puncture headache: is bed rest essential?
Vimala J, Peter JV, Jeyaseelan L, Prabhakar S, Cherian AM
J Assoc Physicians India 1998 Nov;46(11):930-2. PMID: 11229216
Theophylline relieves headache following lumbar puncture. Placebo-controlled, double-blind pilot study.
Feuerstein TJ, Zeides A
Klin Wochenschr 1986 Mar 3;64(5):216-8. doi: 10.1007/BF01711650. PMID: 3517473

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