postdural puncture syndrome

Postdural puncture syndrome - headache and meningism events occurring after lumbar puncture.

Etiology, pathogenesis. CSF hypotension caused by leakage of cerebrospinal fluid through the persistent opening in the spinal cord at the puncture site.

Symptoms within. Headache usually occurs on the 2nd day after the puncture, and occurs in approximately 1/5 of patients. The pain is usually postural, arises when you try to get the patient and disappears in a horizontal position. Headache is sometimes accompanied by nausea, vegetative lability, easy meningeal signs. Headache spontaneously subsides in a few days, sometimes delayed for 2-3 weeks. Investigation of cerebrospinal fluid at the height cephalgia detects a substantially reduced pressure with consistently normal part of the liquid. Low-grade fever, accompanying meningism, often gives rise to the erroneous assumption that the infection intrathecal space. Meanwhile, meningitis, complicating puncture - a rare oddities. Treatment. Bed rest, drinking plenty of fluids (3 to 4 liters / day). When more severe symptoms prescribed analgesics, tranquillizers, rarely introduced into / in isotonic sodium chloride solution.

Weather favorable.