Cargando…

Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow?

Headache is a common complication after diagnostic lumbar puncture (DLP). We aimed to check whether hydration before puncture influences the incidence of post-lumbar puncture headache (PLPH) and affects cerebral blood flow. Ninety-nine patients enrolled for puncture were assigned to a group with (n...

Descripción completa

Detalles Bibliográficos
Autores principales: Nowaczewska, Magdalena, Kukulska-Pawluczuk, Beata, Kaźmierczak, Henryk, Pawlak-Osińska, Katarzyna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832587/
https://www.ncbi.nlm.nih.gov/pubmed/31627321
http://dx.doi.org/10.3390/jcm8101710
_version_ 1783466208189743104
author Nowaczewska, Magdalena
Kukulska-Pawluczuk, Beata
Kaźmierczak, Henryk
Pawlak-Osińska, Katarzyna
author_facet Nowaczewska, Magdalena
Kukulska-Pawluczuk, Beata
Kaźmierczak, Henryk
Pawlak-Osińska, Katarzyna
author_sort Nowaczewska, Magdalena
collection PubMed
description Headache is a common complication after diagnostic lumbar puncture (DLP). We aimed to check whether hydration before puncture influences the incidence of post-lumbar puncture headache (PLPH) and affects cerebral blood flow. Ninety-nine patients enrolled for puncture were assigned to a group with (n = 40) or without hydration (n = 59). In the hydration group, 1000 mL 0.9% NaCl was infused and a minimum of 1500 mL oral fluids was recommended within the 24 h before puncture. A Transcranial Doppler (TCD) was performed before and after DLP. Mean velocity (Vm) and pulsatility index (PI) were measured in the middle cerebral arteries (MCAs). PLPH occurred in 28 patients (28.2%): six (15.4%) from the hydrated and 22 (37.3%) from the non-hydrated group (p < 0.023). Patients with PLPH were younger (p < 0.014) and with headaches in their histories (p < 0.036) compared with the non-headache group. Vm values in both MCAs after puncture were significantly lower than before puncture in all patients. In the PLPH group, Vm in MCAs before puncture were significantly higher and the PI was lower than in the non-headache group. Our findings suggest that hydration of patients within 24 h before puncture prevented PLPH. Twenty-four hours after puncture, significant decreases in Vm were observed in the MCAs of all patients. Low baseline values of PI and high Vm predisposed patients to PLPH.
format Online
Article
Text
id pubmed-6832587
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-68325872019-11-25 Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow? Nowaczewska, Magdalena Kukulska-Pawluczuk, Beata Kaźmierczak, Henryk Pawlak-Osińska, Katarzyna J Clin Med Article Headache is a common complication after diagnostic lumbar puncture (DLP). We aimed to check whether hydration before puncture influences the incidence of post-lumbar puncture headache (PLPH) and affects cerebral blood flow. Ninety-nine patients enrolled for puncture were assigned to a group with (n = 40) or without hydration (n = 59). In the hydration group, 1000 mL 0.9% NaCl was infused and a minimum of 1500 mL oral fluids was recommended within the 24 h before puncture. A Transcranial Doppler (TCD) was performed before and after DLP. Mean velocity (Vm) and pulsatility index (PI) were measured in the middle cerebral arteries (MCAs). PLPH occurred in 28 patients (28.2%): six (15.4%) from the hydrated and 22 (37.3%) from the non-hydrated group (p < 0.023). Patients with PLPH were younger (p < 0.014) and with headaches in their histories (p < 0.036) compared with the non-headache group. Vm values in both MCAs after puncture were significantly lower than before puncture in all patients. In the PLPH group, Vm in MCAs before puncture were significantly higher and the PI was lower than in the non-headache group. Our findings suggest that hydration of patients within 24 h before puncture prevented PLPH. Twenty-four hours after puncture, significant decreases in Vm were observed in the MCAs of all patients. Low baseline values of PI and high Vm predisposed patients to PLPH. MDPI 2019-10-17 /pmc/articles/PMC6832587/ /pubmed/31627321 http://dx.doi.org/10.3390/jcm8101710 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nowaczewska, Magdalena
Kukulska-Pawluczuk, Beata
Kaźmierczak, Henryk
Pawlak-Osińska, Katarzyna
Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow?
title Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow?
title_full Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow?
title_fullStr Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow?
title_full_unstemmed Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow?
title_short Post-Lumbar Puncture Headache—Does Hydration before Puncture Prevent Headache and Affect Cerebral Blood Flow?
title_sort post-lumbar puncture headache—does hydration before puncture prevent headache and affect cerebral blood flow?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832587/
https://www.ncbi.nlm.nih.gov/pubmed/31627321
http://dx.doi.org/10.3390/jcm8101710
work_keys_str_mv AT nowaczewskamagdalena postlumbarpunctureheadachedoeshydrationbeforepuncturepreventheadacheandaffectcerebralbloodflow
AT kukulskapawluczukbeata postlumbarpunctureheadachedoeshydrationbeforepuncturepreventheadacheandaffectcerebralbloodflow
AT kazmierczakhenryk postlumbarpunctureheadachedoeshydrationbeforepuncturepreventheadacheandaffectcerebralbloodflow
AT pawlakosinskakatarzyna postlumbarpunctureheadachedoeshydrationbeforepuncturepreventheadacheandaffectcerebralbloodflow