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J Neurol Neurosurg Psychiatry. 1982 August; 45(8): 743–746.
PMCID: PMC1083170

Failure of postural manoeuvres to prevent lumbar puncture headache.


Diagnostic lumbar puncture was performed on 76 neurological inpatients. They were randomly allocated to one of four bed rest positions for four hours following the procedure (supine and horizontal, prone and horizontal, supine with head-down tilt and prone with head-down tilt) after which they were allowed to get up. There was no substantial or significant difference in the incidence of headache between the four groups. Expectation of headache did not appear to be an important factor in its development.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Aziz H, Pearce J, Miller E. Vasopressin in prevention of lumbar puncture headache. Br Med J. 1968 Dec 14;4(5632):677–678. [PMC free article] [PubMed]
  • Cowan JM, Durward WF, Harrington H, Johnston JH, Donovan B. DDAVP in the prevention of headache after lumbar puncture. Br Med J. 1980 Jan 26;280(6209):224–224. [PMC free article] [PubMed]
  • Birkahan HJ, Heifetz M. Lumbar Puncture Headache. Br Med J. 1969 Mar 22;1(5646):c782–782. [PMC free article]
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  • BROCKER RJ. Technique to avoid spinal-tap headache. J Am Med Assoc. 1958 Sep 20;168(3):261–263. [PubMed]
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