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Headaches associated with low spinal fluid pressure.

E Fernández1

  • 1Department of Neurology, Emory University School of Medicine, Atlanta, Georgia 30322.

Headache
|February 1, 1990
PubMed
Summary
This summary is machine-generated.

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Post-lumbar puncture headache (PLPHA) and spontaneous hypoliquorrheic headache stem from low spinal fluid pressure. This review covers their causes, prevention, and treatments like epidural blood patches or caffeine.

Area of Science:

  • Neurology
  • Pain Management

Background:

  • Post-lumbar puncture headache (PLPHA) and spontaneous hypoliquorrheic headache share symptoms of low cerebrospinal fluid pressure.
  • Both conditions present as dull or throbbing occipital headaches, exacerbated by upright posture and relieved by recumbency.

Purpose of the Study:

  • To review the incidence, pathogenesis, prevention, and treatment of PLPHA and spontaneous hypoliquorrheic headaches.
  • To highlight effective treatment options for persistent headaches.

Main Methods:

  • Literature review of studies on low spinal fluid pressure headaches.
  • Discussion of etiological mechanisms, including cerebrospinal fluid leakage and intracranial vascular changes.

Main Results:

  • PLPHA is caused by cerebrospinal fluid leakage, likely leading to intracranial arterial and venous dilatation.

Related Experiment Videos

  • Spontaneous hypoliquorrheic headache shares a similar pathogenesis, though the leakage site is often unidentified.
  • Most cases resolve spontaneously; persistent headaches respond well to epidural blood patch or saline infusion.

    • Conclusions:

    • Low spinal fluid pressure headaches, including PLPHA and spontaneous hypoliquorrheic headache, share common pathophysiological mechanisms.
    • While often self-limiting, effective treatments like epidural blood patches, saline infusions, and caffeine sodium benzoate are available for persistent cases.