Post spinal headache true is
Correct Answer: Better with caffeine
Description: Ans. (b) Better with caffeine(Ref: Postgrad Med). 2006 Nov; 82 (973): 713-716.)Post spinal headache:* Post spinal headache is defined as "bilateral headaches that develop within 7 days after an lumbar puncture and disappears within 14 days* Headache after lumbar puncture occurs more often in young adults, especially in the 18-30-year age group.* Young women with a lower body mass index and those who are pregnant have the highest risk of developing headaches after lumbar puncture.* 1/3rd of the patient develop spinal headache.* Usually occurs after 24-48 hours of Spinal injection.* Spinal headache depends on the size of needle used, Number of attempts used to puncture, direction and design of the bevel in needle etc* The most important cause for headache is not the pressure in the CSF but the volume of fluid leaking.* The headache worsens within 15 min of resuming the upright position, disappears or improves within 30 min of resuming the recumbent positionManagement:* Conservatively more than 85% cases are cured.* Supporting treatment such as rehydration, simple analgesics, opioids and anti-emetics may control the symptoms in milder cases.* Epidural patch closure, Caffeine, Epidural Hypertonic Saline or Dextran injection are used.* Increased oral fluids is found recently as no benefit in the reduction of symptoms.
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now