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Migrainous phenomenon precipitated by lumbar puncture headache

F W Drislane1

  • 1Department of Neurology, Beth Israel Hospital, Boston.

Cephalalgia : an International Journal of Headache
|October 1, 1994
PubMed
Summary

A patient developed a typical lumbar puncture headache and a visual field deficit, suggesting mechanical irritation can trigger migraine-like symptoms. This case highlights a potential link between cerebrospinal fluid pressure changes and neurological dysfunction.

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Area of Science:

  • Neurology
  • Neuroscience
  • Ophthalmology

Background:

  • Migraine and headaches are common neurological disorders.
  • Lumbar puncture headaches (LPH) are typically postural and resolve with recumbency.
  • Visual field deficits are a common migraine aura symptom.

Observation:

  • A patient without prior headache history developed a typical LPH after a lumbar puncture.
  • The LPH was followed by a characteristic migrainous visual field deficit.
  • No recurrence of symptoms was noted during long-term follow-up.

Findings:

  • The case suggests that mechanical distortion or irritation of cranial pain-sensitive structures can precede and precipitate migrainous cortical dysfunction.
  • This indicates a potential mechanism linking cerebrospinal fluid pressure changes to migraine aura.

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  • The absence of prior headache history in the patient strengthens the association.

    • Implications:

    • This case report expands the understanding of migraine pathophysiology.
    • It suggests that external physical stimuli, like those from LPH, can trigger neurological events typically associated with migraine.
    • Further research may explore the role of mechanical factors in migraine genesis and aura development.