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J Korean Neurol Assoc > Volume 15(5); 1997 > Article
Journal of the Korean Neurological Association 1997;15(5): 1117-1124.
요추천자후 두통 ; 침상안정이 요추천자후 두통을 예방하는가?
권재철, 최낙천, 박기종, 김남곤, 윤혜정, 권오영, 임병훈
경상대학교 의대 신경과. 신경과학 연구소
Post-Lumbar puncture headache ; Does bed rest prevent the post-lumbar puncture headache?
Jae Cheol Kwon, Nack Cheon Choi, Ki Jong Park, Nam Gon Kim, Hae Jeong Yun, Oh Young Kwon, Byeong Hoon Lim.
Dept of Neurology, Gyeongsang Intitute for Neuroscience, Gyeongsang National Univ. College of Medicine
Abstract
Background & Objectives : It is widely believed that the post-lumbar puncture headache(PLPH) is related to CSF leakage through the dural hole made by needle tract. So it is accepted that PLPH is prevented by at least 4 hour bed rest after lumbar puncture (LP). If bed rest was unneccessary, the administrative and nursing advantages would be obvious,, especially in neurologic units, where LP has been done frequently. Therefore, we evaluate the incidence of PLPH in the ambulant and bed-rest patients prospectively and compared the incidence difference between two group. Methods : Eighty-eight patients without preceding headache who were done lumbar puncture for diagnostic purpose were selected prospectively. We compared the incidence of PLPH between the ambulant (50 patients) and bed-rest group (38 patient,) at 6 hour and 24 hours. We also evaluated the effect of the CSF profile (count of RBC and WBC, protein level and opening pressure) on PLPH. Results : The PLPH was found in 11 cases(12.5%) among bed-rest and ambulant groups. The frequency of each group was 8% (3/38) in bed-rest group and 16%(8/50) in ambulant group, but there is no significant difference between two groups (p-vaIue = 0.26). The frequency of PLPH is also not correlated to the CSF profiles; count of RBC and WBC, protein level, and opening pressure. Conclusions : There is no significant difference between the ambulant and bed rest group in the frequency of the PLPH. We conclude that the bed rest after LP is unnecessary for the prevention of the PLPH
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