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Post-myelogram headache--physiological or psychological?

T Lee1, N Maynard, P Anslow

  • 1Department of Neurosurgery, Radcliffe Infirmary, Oxford, UK.

Neuroradiology
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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Post-lumbar puncture headache is often linked to normal myelogram results. Psychological factors, like anxiety and depression, may also play a role in headache development after this procedure.

Area of Science:

  • Neurology
  • Psychology

Background:

  • Post-lumbar puncture headache is a common complication.
  • Psychological factors influencing headache development are understudied.

Purpose of the Study:

  • To investigate the association between myelogram results and post-lumbar puncture headache.
  • To explore the role of psychological factors in post-myelogram headache.

Main Methods:

  • Studied 100 consecutive patients undergoing elective myelography.
  • Assessed post-myelogram headache by an independent observer.
  • Utilized psychological testing, including the Hospital Anxiety and Depression Scale.

Main Results:

  • Post-myelogram headache showed a strong association with normal myelogram findings (P < 0.001).

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  • A trend was observed between psychological scores and headache development, but it lacked statistical significance.

    • Conclusions:

    • Both organic and psychological components contribute to post-myelogram headache.
    • Further research is needed to clarify the psychological influence on headache after lumbar puncture.