Document Detail

The influence of early ambulation and other factors on headache after lumbar myelography.
MedLine Citation:
PMID:  12793558     Owner:  NLM     Status:  MEDLINE    
In order to determine the influence of early ambulation and other factors on headaches occurring after lumbar myelography we randomised 207 patients (127 men and 80 women) into two groups. Following the investigation, we allowed the 101 patients (65 men and 36 women) in group A to sit or stand freely, while we confined the 106 patients (62 men and 44 women) in group B to bed for 20 hours. The nine patients in group B who could not maintain bed rest were excluded. There was no significant difference between the two groups as regards the prevalence of spinal headache (8.9% in group A v 14.4% in group B). Patients who reported headaches, however, were significantly more likely to be women (18.7%) than men (73%), be younger (mean age 45 years v 56 years), have a higher cerebrospinal pressure before removal of fluid (mean values 172 v 137 mm H2O) and a lower systolic (mean values 120 v 134 mmHg) and diastolic blood pressure. We conclude that, although other factors may be associated with headaches, late ambulation is not effective in preventing spinal headaches after lumbar myelography.
Y Murata; M Yamagata; S Ogata; K Shimizu; Y Ikeda; J Hirayama; H Yamada
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  85     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-06-09     Completed Date:  2003-06-23     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  531-4     Citation Subset:  AIM; IM    
Department of Orthopaedic Surgery, School of Medicine, Chiba University, Chiba Rosai Hospital, Japan.
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MeSH Terms
Age Factors
Bed Rest*
Blood Pressure / physiology
Early Ambulation*
Headache / etiology,  prevention & control*
Intracranial Pressure / physiology
Lumbar Vertebrae
Middle Aged
Myelography / adverse effects*
Sex Factors

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

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