How to deal with headache after lumbar puncture?

Apr 21, 2022

Most occurred within 48 hours after lumbar puncture, usually lasted 2-3 days, and the headache disappeared completely after two weeks at most. The symptoms and treatment of headache are the same as those of intracranial hypotension headache caused by other causes. In order to prevent headache after lumbar puncture, a small needle should be used during puncture, and the rate of fluid discharge should be slow. After lumbar puncture, the patient should lie down or prone for 4-6 hours and give enough fluids. In the event of headache after lumbar puncture, the patient should stay in bed more, walk less, and drink more water, which can generally alleviate the symptoms, and can be cured by intravenous infusion of fluids if necessary. For emergency treatment of headache after lumbar puncture, in addition to pain relief, please consult anesthesiology department and perform Blood Patch. Operated by an anesthesiologist, the patient's own blood (20-30ml) is injected into the epidural space through epidural puncture, and the dural break is sealed in the form of a hematoma, with a success rate of 70%-98%. In addition to blood injection, saline can also be used.

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