MedSchool: Ace Your OSCEsThe Medical Company
GET - On the App Store
Lumbar Punctures

Post Dural Puncture Headache

February 15th, 2021


  • Clinical Features

  • May occur hours or days after LP
  • Headache
  • Nausea / vomiting
  • Dizziness
  • Mechanism

  • Unknown, but thought to relate to reduced CSF pressure / compensatory venodilatation.
  • Prevention

  • Use an atraumatic needle rather than a cutting (bevelled) needle
  • Use the smallest bore needle possible
  • Reinsert the stylet prior to removing the needle
Several studies (Straus et al, Spriggs et al) suggest that bed rest post LP has no preventative effect on post-LP headache.
Next Page
Want more info like this?
  • Your electronic clinical medicine handbook
  • Guides to help pass your exams
  • Tools every medical student needs
  • Quick diagrams to have the answers, fast
  • Quizzes to test your knowledge
Sign Up Now

Snapshot: Initialising...