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Previous Volume 336:1190 April 17, 1997 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The post–lumbar puncture syndrome may be due to prolonged leakage of cerebrospinal fluid because of delayed closure of a dural defect, which causes low cerebrospinal fluid pressure. The reported frequency of the syndrome ranges from less than 1 percent to 70 percent. Its incidence depends on the diameter of the needle,¹ the shape of the needle,² and whether a diagnostic lumbar puncture is performed or spinal anesthesia is administered.³ The incidence of the post–lumbar puncture syndrome is much lower after spinal anesthesia than after diagnostic lumbar puncture.^3,4 The reason for this difference may be that a strand . . . [Full Text of this Article]

References

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• (2008). EMQ answers. Emerg. Med. J. 25: 464-464 [Full Text]  
• Straus, S. E., Thorpe, K. E., Holroyd-Leduc, J. (2006). How do I perform a lumbar puncture and analyze the results to diagnose bacterial meningitis?. JAMA 296: 2012-2022 [Abstract] [Full Text]  
• Toyka, K. V., Muller, B., Reichmann, H., Strupp, M., Schuler, O., Brandt, T. (2002). "Atraumatic" Sprotte needle reduces the incidence of post-lumbar puncture headaches. Neurology 59: 1120-1121 [Full Text]  
• Strupp, M., Schueler, O., Straube, A., Von Stuckrad-Barre, S., Brandt, T. (2001). ""Atraumatic"" Sprotte needle reduces the incidence of post-lumbar puncture headaches. Neurology 57: 2310-2312 [Abstract] [Full Text]  
• Muldoon, T., Yentis, S., Reynolds, F., O'Sullivan, G., Strachan, A, Train, J, Nel, M. R, Robinson, N. (1998). Lumbar puncture and headache. BMJ 316: 1018-1018 [Full Text]