Although lumbar small hole is one o...

Although lumbar small hole is one of the mostly commonly performed invasive procedures in children and adolescents, little is known about the accident of subsequent head-ache and backache. Ebinger and colleagues performed a prospective thought to determine the incidence of these after-effects.

Children pair years and older undergoing diagnostic lumbar prick were enrolled in the cogitation All children were instructed to maintain bed pause for 24 hours after the small hole The incidence of backache and positional and nonpositional headache was recorded.

Of 112 patients undergoing lumbar perforate 30 (27 percent) reported headaches after the procedure; 10 of these headaches were clearly positional. Positional headache was more frequent in children 10 years and older occurring in 16 percent of children in this assign places to compared with 5 percent of the younger children. Backache was reported by dint of 45 patients (40 percent). Symptoms began within pair days of the puncture and resolv within single in kind week.

Headache and backache were more habitual in children 10 years and older than in younger children (82 versus 33 percent) Girls 10 years and older reported symptoms more as a common thing [i]or[/i] matter but there was no sex difference in the younger form into groups Cerebrospinal fluid pleiocytosis was associated with a greater incidence of headache, if it were not that other factors such as multiple wound attempts, needle size, and bevel position had no like association. After controlling for all factors, merely age was associated with postpuncture headache or backache.

In this studious mood the incidence of positional and nonpositional headache after lumbar small hole was much lower than that reported in adults, about united third of whom have these symptoms. Backaches were common

CAROLINE WELLBERY, MD

Ebinger F et al. Headache and backache after lumbar small hole in children and adolescents: a prospective studious mood Pediatrics June 2004;113:1588-92.

COPYRIGHT 2005 American Academy of Family Physicians

COPYRIGHT 2005 Gale Group