Journal of Neuroscience Nursing

Skip Navigation LinksHome > June 2014 - Volume 46 - Issue 3 > Post-Lumbar Puncture Headache: A Review of Issues for Nursi...
Journal of Neuroscience Nursing:
doi: 10.1097/JNN.0000000000000052

Post-Lumbar Puncture Headache: A Review of Issues for Nursing Practice

Destrebecq, Anne; Terzoni, Stefano; Sala, Elena

Collapse Box


Abstract: Headache is the most common complication after lumbar puncture. This narrative review explores the literature to determine strategies for preventing headache and provide evidence-based nursing care to adults with post-lumbar puncture headache. Multiple findings regarding prevention and relieving of post-lumbar puncture headache were identified and summarized under the headings “Needle Design and LP Technical Procedure,” “Bed Rest and Early Mobilization,” “Posture and Head Position,” “Cerebral Vasoconstriction,” “Hydration and Seal of the Puncture Site,” and “Patient Characteristics.” Despite the amount of articles, no widely accessible nursing practice guidelines were found. It has been shown that several treatments with insufficient or low levels of evidence supporting their efficacy are still being used (e.g., prolonged bed rest, special postures in bed, additional fluid intake, and caffeine intake). A clear recommendation regarding using atraumatic, small-sized needles. Further research is needed to support nursing with stronger evidence.

© 2014 American Association of Neuroscience Nurses


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.