Is obligatory bed rest after lumbar puncture obsolete?
作者： Marianne Dieterich , Th. Brandt
DOI: 10.1007/BF00633475
关键词: Bed rest 、 Surgery 、 Prone position 、 Csf leakage 、 CSF PRESSURE 、 Lumbar 、 Dural defect 、 Lumbar puncture 、 Anesthesia 、 Medicine 、 Cerebrospinal fluid 、 Pharmacology (medical) 、 Biological psychiatry 、 General Neuroscience 、 Neuropsychology and Physiological Psychology 、 Psychiatry and Mental health 、 General Medicine
摘要: After lumbar puncture (LP) an epidural CSF leakage caused by delayed closure of a dural defect leads to decrease in pressure. The resultant venous dilatation as well downward shift the brain with traction on pain-sensitive blood vessels and nerves frequently evokes post-lumbar headache (PLPH), when patient assumes upright position. In previous studies differing opinions have been expressed about prophylactic value posture taken after LP. present study was designed evaluate benefit hydrostatic pressure rent, lies down prone position head tilted at angle 10° for 30 min immediately LP: is it possible accelerate this way prevent PLPH? One group patients (n = 78) lay min, other 82) rose PLPH found be independent both groups affected 44% 41% patients, respectively, so that there no longer any justification requiring remain bed
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