Document Detail

Incidence of post-lumbar puncture headache is independent of daily fluid intake.
MedLine Citation:
PMID:  3203698     Owner:  NLM     Status:  MEDLINE    
The clinical practice of advising patients to increase their daily fluid intake after lumbar puncture in order to increase CSF production by re-hydration and thus try to prevent post-lumbar puncture headache (PLPH) has not yet been shown to be effective. In 100 patients the different effects of re-hydration on the incidence of PLPH (1.51 compared with 3.01 oral fluid per day over a period of 5 days) were tested prospectively. The incidence of PLPH was independent of the amount of fluid intake in both groups (18, 36%), as was the duration of PLPH. The physiology of CSF production and resorption suggests that PLPH is not a problem of CSF dynamics but a simple mechanical problem of how to close the dural rent and thereby stop the continuous leakage. It is no longer justifiable to advise patients to drink more than usual since there is no physiological or empirical basis for this and it does not seem to have even a placebo effect.
M Dieterich; T Brandt
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  European archives of psychiatry and neurological sciences     Volume:  237     ISSN:  0175-758X     ISO Abbreviation:  Eur Arch Psychiatry Neurol Sci     Publication Date:  1988  
Date Detail:
Created Date:  1989-02-09     Completed Date:  1989-02-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8411522     Medline TA:  Eur Arch Psychiatry Neurol Sci     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  194-6     Citation Subset:  IM    
Neurologische Klinik, Universität München, Klinikum Grosshadern, Federal Republic of Germany.
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MeSH Terms
Aged, 80 and over
Headache / etiology*
Intracranial Pressure
Middle Aged
Spinal Puncture*
Water-Electrolyte Balance*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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