Bed rest and postlumbar puncture headache

Cook, P. T.; Davies, Melanie J.; Beavis, R. E.

doi:10.1111/j.1365-2044.1989.tb11334.x

Cited by 50 publications

(10 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When conservative management fails, oral and intravenous caffeine have been shown to be helpful [5][6][7]. Persistent and severe PLPH is treated with an epidural blood patch which has very high success rates [8].…”

Section: Introductionmentioning

confidence: 99%

Needle type and the risk of post-lumbar puncture headache in the outpatient neurology clinic

Hammond

Wang

Bhulani

et al. 2011

Journal of the Neurological Sciences

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Needle type and the risk of post-lumbar puncture headache in the outpatient neurology clinic

Hammond

Wang

Bhulani

et al. 2011

Journal of the Neurological Sciences

View full text Add to dashboard Cite

“…Post‐dural puncture headache (PDPH) is the commonest complication of LP, occurring in up to 46% of patients 39–41 . Post‐dural puncture headache is due to gravity‐dependent traction on pain sensitive intracranial structures due to low CSF pressure which occurs when CSF leak at the puncture site is greater than the rate of CSF production 41–44 . As well as headache, other symptoms of low CSF pressure and stretch of intracranial structures include upper cranial nerve dysfunction such as diplopia, vertigo and hearing loss 4,33,43,45 …”

Section: Complicationsmentioning

confidence: 99%

“…Bed rest for between 4 and 24 h has been recommended traditionally following LP to reduce the incidence of PDPH; however, the effect of bed rest on the incidence of PDPH remains unproven with conflicting results in different studies. Limited or prolonged bed rest, and bed rest in the supine, prone, horizontal or head‐down position, have not shown consistent reductions in the incidence, duration or severity of PDPH 8,44,50–54 . One study suggested that early mobilization may in fact reduce the incidence of PDPH 55 .…”

Section: Complicationsmentioning

confidence: 99%

“…[39][40][41] Post-dural puncture headache is due to gravity-dependent traction on pain sensitive intracranial structures due to low CSF pressure which occurs when CSF leak at the puncture site is greater than the rate of CSF production. [41][42][43][44] As well as headache, other symptoms of low CSF pressure and stretch of intracranial structures include upper cranial nerve dysfunction such as diplopia, vertigo and hearing loss. 4,33,43,45 Post-dural puncture headache usually develops within 48 h, but 25% begin more than 3 days after the LP.…”

Section: Implantation Of Epidermal Cellsmentioning

confidence: 99%

See 1 more Smart Citation

Perils and pitfalls of lumbar puncture in the emergency department

Cuthbert

2001

Emergency Medicine

View full text Add to dashboard Cite

Lumbar Puncture is a procedure commonly performed in the emergency department. It provides important diagnostic information but has a significant number of limitations and complications. This article reviews the role of lumbar puncture in the emergency department based on an extensive review of the current literature, focusing on the recognized contraindications and complications of the procedure and how they can be minimized. The interpretation of diagnostic tests performed on cerebrospinal fluid is also examined, highlighting those tests most commonly ordered from the emergency department.

show abstract

“…In 1899, Bier first recommended prophylactic bed rest in a supine position after LP to prevent complications, because rest in the supine position reduced CSF pressure, suppressed CSF leakage after LP, and accelerated healing of the puncture holes in the dura mater [9]. Currently, bed rest following LP is a common practice at many facilities.…”

Section: Introductionmentioning

confidence: 99%

Investigation of the optimal duration of bed rest in the supine position to reduce complications after lumbar puncture combined with intrathecal chemotherapy: a multicenter prospective randomized controlled trial

Tong

et al. 2018

Support Care Cancer

View full text Add to dashboard Cite

PurposeThis randomized, open-label trial was conducted to investigate the optimal duration of bed rest after intrathecal chemotherapy to reduce the incidence of complications without increasing patients’ tolerance to long-term bed rest.MethodsA total of 390 patients receiving intrathecal chemotherapy were randomly assigned 1:1:1 to undergo bed rest for 6, 8, or 10 h after intrathecal chemotherapy. The primary outcome was the rate of complications after intrathecal chemotherapy. The analysis was per protocol.ResultsA total of 359 patients among the 390 patients in our study completed follow-up with 120 patients in the 6-h group, 120 in the 8-h group, and 119 in the 10-h group. The complications among the three groups differed significantly (P = 0.005). The 6-h group had significantly more complications than the 8- (50, 41.7% vs 29, 24.2%, P = 0.004) and 10-h groups (50, 41.7% vs 31, 26.1%, P = 0.011), whereas the difference between the 8- and 10-h groups was not significant (29, 24.2% vs 31, 26.1%, P = 0.737).ConclusionsThe overall results support that the optimal time interval for bed rest in the supine position after intrathecal chemotherapy is 8 h. This trial is registered with the Chinese Clinical Trial Registry (number ChiCTR-IOR-17011671).

show abstract

Bed rest and postlumbar puncture headache

Cited by 50 publications

References 9 publications

Needle type and the risk of post-lumbar puncture headache in the outpatient neurology clinic

Needle type and the risk of post-lumbar puncture headache in the outpatient neurology clinic

Perils and pitfalls of lumbar puncture in the emergency department

Investigation of the optimal duration of bed rest in the supine position to reduce complications after lumbar puncture combined with intrathecal chemotherapy: a multicenter prospective randomized controlled trial

Contact Info

Product

Resources

About