Treatment of headache after lumbar puncture

After lumbar puncture or lumbar anesthesia, patients sometimes have headaches, which is caused by the extravasation of cerebrospinal fluid from the puncture hole, reducing the pressure of cerebrospinal fluid, and stretching the venous sinuses in the skull, venous memory meninges and other tissues. headache.

However, the degree of headache is not proportional to the reduced pressure of the cerebrospinal fluid. After lumbar puncture or spinal anesthesia, if the patient has a headache complication, the patient should rest in bed, drink more water, and walk less upright or sitting, if necessary. Intravenous infusion of hypotonic or isotonic saline.

In order to prevent headaches after lumbar puncture, you can choose a thinner puncture needle during lumbar puncture, and the cerebrospinal fluid released at one time should not be too much, usually below 6 to 8 milliliters. After lumbar puncture, the patient should be instructed to go to Lie on your back or on your stomach for 4 to 6 hours.

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