Title: Does lumbar puncture at night prevent post-dural puncture headache?
Abstract: Acta Neurologica ScandinavicaVolume 130, Issue 3 p. 204-209 Original Article Does lumbar puncture at night prevent post-dural puncture headache? K. M. Park, K. M. Park Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaSearch for more papers by this authorK. J. Shin, K. J. Shin Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaSearch for more papers by this authorS. Y. Ha, S. Y. Ha Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaSearch for more papers by this authorJ. Park, J. Park Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaSearch for more papers by this authorS. E. Kim, Corresponding Author S. E. Kim Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea S. E. Kim, Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Haeundae-ro 875, 612-896 Haeundae-gu, Busan, Korea Tel.: +82 51 797 1195 Fax: +82 51 797 1196 e-mail: [email protected] for more papers by this author K. M. Park, K. M. Park Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaSearch for more papers by this authorK. J. Shin, K. J. Shin Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaSearch for more papers by this authorS. Y. Ha, S. Y. Ha Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaSearch for more papers by this authorJ. Park, J. Park Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaSearch for more papers by this authorS. E. Kim, Corresponding Author S. E. Kim Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea S. E. Kim, Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Haeundae-ro 875, 612-896 Haeundae-gu, Busan, Korea Tel.: +82 51 797 1195 Fax: +82 51 797 1196 e-mail: [email protected] for more papers by this author First published: 14 May 2014 https://doi.org/10.1111/ane.12267Citations: 3Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Objectives The aim of this study was to identify the patient-related risk factors for post-dural puncture headache with same standardized procedures. Materials and methods The inclusion criteria were patients (i) who underwent lumbar puncture for diagnostic purposes, (ii) with ≥10 years of age, and (iii) with no structural lesions that could cause headache from brain-computed tomography or magnetic resonance images. The primary endpoint for this study was post-dural-puncture headache as a dependent variable. The differences were analyzed with demographic and cerebrospinal fluid profiles as independent variables. Results Four hundred and thirteen patients met the inclusion criteria for this study, and 36 patients developed post-dural puncture headache. Patients with post-dural puncture headache were younger, had lower body mass index, and had less diabetes and hypertension. In cerebrospinal fluid profile, the counts of white blood cell and protein, and cerebrospinal fluid pressure were lower in patients with post-dural puncture headache than those without post-dural puncture headache, but glucose ratio was higher. Interestingly, patients who underwent puncture at daytime developed more post-dural puncture headache than those who were performed puncture at nighttime. After adjusting the clinical variables, multiple logistic regression analysis showed that younger age, lower cerebrospinal fluid pressure, and puncture at daytime were independently significant variables for predicting post-dural puncture headache. Conclusions We confirmed the risk factor for post-dural puncture headache such as young age, and newly found that patients who underwent puncture at daytime developed more post-dural puncture headache than those who were performed puncture at nighttime. Citing Literature Volume130, Issue3September 2014Pages 204-209 RelatedInformation
Publication Year: 2014
Publication Date: 2014-05-14
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 6
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