預防硬腦膜穿刺後頭痛之姿勢與水分補充 | 合法醫療器材資訊網

2013年7月12日—硬腦膜穿刺後頭痛(PDPH)是一種常見的腰椎穿刺併發症，許多理論將腦脊髓液(​CSF)由硬腦膜上的洞滲漏視為造成此副作用的原因。...評估在腰椎穿刺後延長臥床平躺，結合身體與頭部不同的姿勢以及給予補充水分，是否能 ...

Post‐dural (post‐lumbar or post‐spinal) puncture headache (PDPH) is one of the most common complications of diagnostic, therapeutic, or inadvertent lumbar punctures (Bezov 2010[1]; Davignon 2002[2]). PDPH is defined as any headache after a lumbar puncture that worsens within 15 minutes of sitting or standing and that is relieved within 15 minutes of lying down (IHS 2004[3]). Ninety per cent of PDPHs occur within three days of the procedure and 66% start within the first 48 hours (Turnbull 2003[4]).

The pathophysiology of PDPH has not been fully described. It is well known that puncture in the dura allows cerebrospinal fluid (CSF) to leak from the subarachnoid space, resulting in a decrease in CSF volume and pressure (Grande 2005[5]). This CSF volume loss may cause a downward pull on pain‐sensitive str...