Under pressure headache can be caused by a reduction in the Liquorvolumens and CSF pressure due to a lumbar puncture or a spontaneous or traumatic spinal fluid leak.

Under pressure headache can be caused by a reduction in the Liquorvolumens and CSF pressure due to a lumbar puncture or a spontaneous or traumatic spinal fluid leak.

(See also examination of headache patients.) Vacuum headache can be caused by a reduction in the Liquorvolumens and CSF pressure due to a lumbar puncture or a spontaneous or traumatic spinal fluid leak. The removal of cerebrospinal fluid at lumbar puncture (LP) is reduced, as well as spontaneous or traumatic spinal fluid leak, the CSF volume and the CSF pressure. Headache after lumbar puncture are common. They usually occur hours to 1-2 days after the puncture and can be fierce. Younger, slender patients are affected the most. Thinner, non-traumatic puncture needles reduces the risk. The extracted cerebrospinal fluid and the duration of the bed rest after the puncture does not influence the occurrence. Spontaneous CSF leakage can arise when a Arachnoiddiverticulum cyst or the nerve root spinal canal along the ruptured. Coughing or sneezing can cause rupture. Liquor may according to specific head or facial injuries expire (z. B. basilar skull fractures). The headache occurs when the pain-sensitive basal meninges are stretched with her head held in a sitting or standing. The head pain is severe, depending on position and often accompanied by neck pain, neck stiffness and vomiting. The head pain subsides only when lying flat. Diagnosis Clinical assessment of post-dural-puncture headache is clinically obvious, and further investigations are rarely necessary; other vacuum headaches may require brain imaging. An MRI with Gadoliniumkontrastverst√§rkung often shows a diffuse accumulation of Pachymeningen and, in severe cases, a deeper sagging of the brain. The CSF pressure is low or not measurable as a rule, when the patients were for some time in an upright position. Treatment fluid administration and caffeine Usually epidural blood patch The first-line therapy for post-LP headache “Recumbency” hydration However, elastic cummerbund caffeine analgesics as needed Is the post-punk tional headache after a day under this therapy further, is an epidural blood patch (a few milliliters of coagulated venous blood of the patient are injected into the lumbar epidural space) is usually effective. A blood patch can also be effective in spontaneous or traumatic spinal fluid leak, which rarely require surgical closure.

Health Life Media Team

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