How to minimize the risk for headache? A lumbar puncture practice questionnaire study

Jonatán Salzer, Cecilia Rajda, Peter Sundström, Mattias Vågberg, L. Vécsei, Anders Svenningsson

Research output: Contribution to journalArticle

Abstract

Background - To lower the risk for post lumbar puncture (LP) headache the American Academy of Neurology (AAN) recommended using small bore atraumatic needles together with stylet reinsertion in a report from 2005. It is unclear whether these recommendations are followed or not. Objectives - To investigate the diagnostic LP preferences with respect to the AAN guidelines among neurologists by use of a short online questionnaire, and to review previously published literature on the subject. Results - A total of 284 respondents who performed diagnostic LPs completed the questionnaire. Almost half (41%) answered that they always use atraumatic needles. The most common reason (73%) for not using atraumatic needles was that these were not available. Less than half of the respondents who performed LPs had knowledge about the AAN guidelines for diagnostic LPs, and 48-76% agreed with the different recommendations therein. Five previously (1998-2015) published studies investigating LP practice among neurologists were identified. The reported frequency of atraumatic needle use (always/routinely) varied between 2 and 16%. Discussion - Atraumatic needle use was more common in this study compared with previous publications. There is still skepticism regarding some of the AAN recommendations, and needle availability appears to be the most important factor preventing atraumatic needle use. To increase the use of atraumatic needles we may perform additional studies investigating their potential benefits, and arrange training sessions for neurologists to increase their awareness and level of comfort with the atraumatic LP technique.

Original languageEnglish
Pages (from-to)397-402
Number of pages6
JournalIdeggyogyaszati Szemle
Volume69
Issue number11-12
DOIs
Publication statusPublished - Nov 30 2016

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Spinal Puncture
Needles
Headache
Neurology
Post-Dural Puncture Headache
Guidelines
Surveys and Questionnaires

Keywords

  • AAN guidelines
  • LP
  • Lumbar puncture
  • Post lumbar puncture headache
  • Questionnaire

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Salzer, J., Rajda, C., Sundström, P., Vågberg, M., Vécsei, L., & Svenningsson, A. (2016). How to minimize the risk for headache? A lumbar puncture practice questionnaire study. Ideggyogyaszati Szemle, 69(11-12), 397-402. https://doi.org/10.18071/isz.69.0397

How to minimize the risk for headache? A lumbar puncture practice questionnaire study. / Salzer, Jonatán; Rajda, Cecilia; Sundström, Peter; Vågberg, Mattias; Vécsei, L.; Svenningsson, Anders.

In: Ideggyogyaszati Szemle, Vol. 69, No. 11-12, 30.11.2016, p. 397-402.

Research output: Contribution to journalArticle

Salzer, J, Rajda, C, Sundström, P, Vågberg, M, Vécsei, L & Svenningsson, A 2016, 'How to minimize the risk for headache? A lumbar puncture practice questionnaire study', Ideggyogyaszati Szemle, vol. 69, no. 11-12, pp. 397-402. https://doi.org/10.18071/isz.69.0397
Salzer, Jonatán ; Rajda, Cecilia ; Sundström, Peter ; Vågberg, Mattias ; Vécsei, L. ; Svenningsson, Anders. / How to minimize the risk for headache? A lumbar puncture practice questionnaire study. In: Ideggyogyaszati Szemle. 2016 ; Vol. 69, No. 11-12. pp. 397-402.
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