Posture and lumbar puncture headache: a controlled trial in 50 patients

Handler, Clive E.; Perkin, G. D.; Smith, F. R.; Rose, F. Clifford
June 1982
Journal of the Royal Society of Medicine;Jun1982, Vol. 75 Issue 6, p404
Academic Journal
A prospective single blind trial in 50 patients was performed to investigate the effect of posture on post lumbar puncture headache (LPH). A difference between the frequency of headache at five hours between the two groups (prone for four hours, versus 30° head down tilt for 30 minutes followed by supine posture for 3½ hours) did not reach significance. These-findings do not support the suggestion that a prone posture, by possibly reducing cerebrospinal fluid (CSF) leakage, significantly reduces the frequency of this common clinical problem. The value of bed rest after lumbar puncture remains equivocal. Other methods used for reducing LPH are reviewed.


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