Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1982 June; 75(6): 404–407.
PMCID: PMC1438000

Posture and lumbar puncture headache: a controlled trial in 50 patients.


A prospective single blind trial in 50 patients was performed to investigate the effect of posture on post lumbar puncture headache (LPH). A difference between the frequency of headache at five hours between the two groups (prone for four hours, versus 30 degrees head down tilt for 30 minutes followed by supine posture for 3 1/2 hours) did not reach significance. These findings do not support the suggestion that a prone posture, by possibly reducing cerebrospinal fluid (CSF) leakage, significantly reduces the frequency of this common clinical problem. The value of bed rest after lumbar puncture remains equivocal. Other methods used for reducing LPH are reviewed.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (488K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bart AJ, Wheeler AS. Comparison of epidural saline placement and epidural blood placement in the treatment of post-lumbar-puncture headache. Anesthesiology. 1978 Mar;48(3):221–223. [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]
  • Daniels AM, Sallie R. Headache, lumbar puncture, and expectation. Lancet. 1981 May 2;1(8227):1003–1003. [PubMed]
  • DiGiovanni AJ, Dunbar BS. Epidural injections of autologous blood for postlumbar-puncture headache. Anesth Analg. 1970 Mar-Apr;49(2):268–271. [PubMed]
  • Durward WF, Harrington H. Headache after lumbar puncture. Lancet. 1976 Dec 25;2(8000):1403–1404. [PubMed]
  • Gass H, Goldstein AS, Ruskin R, Leopold NA. Chronic postmyelogram headache. Isotopic demonstration of dural leak and surgical cure. Arch Neurol. 1971 Aug;25(2):168–170. [PubMed]
  • Hilton-Jones D. Headache after lumbar puncture. Lancet. 1981 Aug 1;2(8240):253–254. [PubMed]
  • Lieberman LM, Tourtellotte WW, Newkirk TA. Prolonged post-lumbar puncture cerebrospinal fluid leakage from lumbar subarachnoid space demonstrated by radioisotope myelography. Neurology. 1971 Sep;21(9):925–929. [PubMed]
  • MARSHALL J. Lumbar-puncture headache. J Neurol Neurosurg Psychiatry. 1950 Feb;13(1):71–74. [PMC free article] [PubMed]
  • MURRY WE, BUSCH RB, Jr, DENSON JS. Successful treatment of postlumbar puncture headaches. Am J Surg. 1956 Mar;91(3):394–395. [PubMed]
  • Paulley JW. Posture and headache after lumbar puncture. Lancet. 1980 Jul 5;2(8184):33–33. [PubMed]
  • SCIARRA D, CARTER S. Lumbar puncture headache. J Am Med Assoc. 1952 Mar 8;148(10):841–842. [PubMed]
  • Smith FR, Perkin GD, Rose FC. Posture and headache after lumbar puncture. Lancet. 1980 Jun 7;1(8180):1245–1245. [PubMed]
  • Tourtellotte WW, Henderson WG, Tucker RP, Gilland O, Walker JE, Kokman E. A randomized, double-blind clinical trial comparing the 22 versus 26 gauge needle in the production of the post-lumbar puncture syndrome in normal individuals. Headache. 1972 Jul;12(2):73–78. [PubMed]
  • Widerlöv E, Lindström L. D.D.A.V.P. and headache after lumbar puncture. Lancet. 1979 Mar 10;1(8115):548–548. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press