Q: Which one small trick can prevent the risk of post Lumbar Puncture (LP) headache?
Answer: Replacing the stylet before the spinal needle is removed can reduce the risk of post-LP headache.
Over the decades, many risk factors have been identified for Post-LP headache including female gender, pregnancy, prior headaches, young and middle age, Low opening pressure, low BMI, position during procedure, the experience of the clinician, reinsertion of stylet, and quality, brand, orientation and size of the needle tip.
Re-insertion of stylet is particularly helpful if a pencil point needle is used.
#procedures
#neurology
References:
Strupp M, Brandt T, Müller A. Incidence of post-lumbar puncture syndrome reduced by reinserting the stylet: a randomized prospective study of 600 patients. J Neurol 1998; 245:589.
Answer: Replacing the stylet before the spinal needle is removed can reduce the risk of post-LP headache.
Over the decades, many risk factors have been identified for Post-LP headache including female gender, pregnancy, prior headaches, young and middle age, Low opening pressure, low BMI, position during procedure, the experience of the clinician, reinsertion of stylet, and quality, brand, orientation and size of the needle tip.
Re-insertion of stylet is particularly helpful if a pencil point needle is used.
#procedures
#neurology
References:
Strupp M, Brandt T, Müller A. Incidence of post-lumbar puncture syndrome reduced by reinserting the stylet: a randomized prospective study of 600 patients. J Neurol 1998; 245:589.
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