Rates of Epidural Blood Patch following Lumbar Puncture Comparing Atraumatic versus Bevel-Tip Needles Stratified for Body Mass Index

2022 ◽  
Author(s):  
J.T. Philip ◽  
M.A. Flores ◽  
R.D. Beegle ◽  
S.C. Dodson ◽  
S.A. Messina ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Lumbar Puncture ◽  
Body Mass ◽  
Epidural Blood Patch ◽  
Blood Patch

Incidence of postural headache after lumbar puncture requiring epidural blood patch: Effects of needle caliber; 2-year experience

2021 ◽  
pp. 197140092110006
Author(s):  
Warren Chang ◽  
Ajla Kadribegic ◽  
Kate Denham ◽  
Matthew Kulzer ◽  
Tyson Tragon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lumbar Puncture ◽  
Conservative Management ◽  
Epidural Blood Patch ◽  
Female Gender ◽  
Regional Hospital ◽  
Younger Age ◽  
Blood Patch ◽  
History Of ◽  
The Difference

Purpose A common complication of lumbar puncture (LP) is postural headaches. Epidural blood patches are recommended if patients fail conservative management. Owing to a perceived increase in the number of post-lumbar puncture headaches (PLPHs) requiring epidural blood patches at a regional hospital in our network, the decision was made to switch from 20 to 22 gauge needles for routine diagnostic LPs. Materials and methods Patients presenting for LP and myelography at one network regional hospital were included in the study. The patients were contacted by nursing staff 3 days post-procedure; those patients who still had postural headaches after conservative management and received epidural blood patches were considered positive cases. In total, 292 patients were included; 134 underwent LP with 20-gauge needles (53 male, 81 female, average age 57.7) and 158 underwent LP with 22-gauge needles (79 male, 79 female, average age 54.6). Results Of 134 patients undergoing LP with 20-gauge needles, 15 (11%) had PLPH requiring epidural blood patch (11 female, 3 male, average age 38). Of 158 patients undergoing LP with 22-gauge needles, only 5 (3%) required epidural blood patches (all female, average age 43). The difference was statistically significant ( p < 0.01). Risk factors for PLPH included female gender, younger age, lower body mass index, history of prior PLPH and history of headaches. Conclusion Switching from 20-gauge to 22-gauge needles significantly decreased the incidence of PLPH requiring epidural blood patch. Narrower gauge or non-cutting needles should be considered in patients with risk factors for PLPH, allowing for CSF requirements.

scholarly journals Low-Pressure Hydrocephalus and Shunt Malfunction Following a Lumbar Puncture in an Adult Reversed by an Epidural Blood Patch

2020 ◽  
Vol 143 ◽  
pp. 56-61
Author(s):  
Marcelo D. Vilela ◽  
Hugo AS. Pedrosa ◽  
Braulio F. Mesquita ◽  
Claudia L.F. Horiguchi
Keyword(s):  
Lumbar Puncture ◽  
Epidural Blood Patch ◽  
Low Pressure ◽  
Shunt Malfunction ◽  
Blood Patch

Epidural Blood Patch as Treatment for Post Lumbar Puncture Headache — A Double Blind Controlled Trial

Cephalalgia ◽  
1989 ◽  
Vol 9 (10_suppl) ◽  
pp. 185-186
Author(s):  
Jeanne Seebacher ◽  
Valéria Ribeiro ◽  
Jean-Luc Le Guillou ◽  
Lucette Lacomblez ◽  
Michel Henry ◽  
...  
Keyword(s):  
Lumbar Puncture ◽  
Epidural Blood Patch ◽  
Controlled Trial ◽  
Double Blind ◽  
Blood Patch

EPIDURAL BLOOD PATCH DOES NOT PREVENT HEADACHE AFTER LUMBAR PUNCTURE

The Lancet ◽  
1987 ◽  
Vol 329 (8537) ◽  
pp. 856-857 ◽  
Author(s):  
WadeH. Berrettini ◽  
Susan Simmons-Alling ◽  
JohnI. Nurnberger
Keyword(s):  
Lumbar Puncture ◽  
Epidural Blood Patch ◽  
Blood Patch

scholarly journals Fluoroscopic-Guided Lumbar Puncture: Fluoroscopic Time and Implications of Body Mass Index--A Baseline Study

2014 ◽  
Vol 35 (8) ◽  
pp. 1475-1480 ◽  
Author(s):  
S. R. Boddu ◽  
A. Corey ◽  
R. Peterson ◽  
A. M. Saindane ◽  
P. A. Hudgins ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Lumbar Puncture ◽  
Body Mass ◽  
Baseline Study ◽  
Fluoroscopic Time
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