Abstract:
BACKGROUND:Post-dural puncture headache (PDPH) due to excessive cerebrospinal fluid (CSF) leakage is a well-known complication of lumbar puncture. Although various factors, especially the type of spinal needle, have been demonstrated to be associated with PDPH, the clinical implications of CSF leakage detected on magnetic resonance myelography (MRM) images remain unclear. The objective of this case-control study was to evaluate the association between radiologically visualized CSF leakage and PDPH. METHODS:Clinical data including patients' age and gender, types of spinal needle, duration of bed rest, interval between lumbar puncture procedures and MRM studies, and incidence of PDPH were compared between patients who were radiologically-positive and -negative for CSF leakage. RESULTS:Of the 22 patients with definite CSF leakage on MRM images, most were asymptomatic (86%, 19/22). The remaining three patients, who were suffering from PDPH, only complained of headaches and were treated conservatively. In a review of patients' clinical data, there were no significant differences in any parameter including the incidence of PDPH between the 22 patients who were radiologically-positive for CSF leakage and the 31 radiologically-negative patients. CONCLUSION:The significance of radiologically visualized CSF leakage should not be overestimated, as most such incidents are not associated with PDPH and do not require any treatment.
journal_name
BMC Anesthesioljournal_title
BMC anesthesiologyauthors
Sakurai K,Matsukawa N,Okita K,Nishio M,Shimohira M,Ozawa Y,Kobayashi S,Yamawaki T,Shibamoto Ydoi
10.1186/1471-2253-13-35subject
Has Abstractpub_date
2013-10-27 00:00:00pages
35issue
1issn
1471-2253pii
1471-2253-13-35journal_volume
13pub_type
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journal_title:BMC anesthesiology
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,多中心研究
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pub_type: 临床试验,杂志文章
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更新日期:2013-09-03 00:00:00
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更新日期:2012-02-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,随机对照试验
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更新日期:2019-10-10 00:00:00
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更新日期:2020-10-30 00:00:00