LP Headache

Progress

0%

CARDIOVASCULAR

LP Headache

Risk Reduction

• Needle bevel parallel to dural fibres
• Use atraumatic needle (smallest gauge possible, 22G minimum)
• Replace stylet before withdrawing needle
• Minimise attempts; operator experience is key

Ineffective in Preventing LP Headache

• CSF volume removed
• Increased fluid intake
• Bed rest duration
• LP position (lying vs sitting)

Key Features

• Onset: Within 3 days (can occur up to 12 days post-LP)
• Duration: Usually resolves within 1 week; may require an epidural blood patch
• Symptoms: Postural headache (worse standing, improves lying flat) Tinnitus, dizziness, neck stiffness, vision changes Possible nausea, photophobia