Korean Journal of Pediatrics 2006;49(7):751-756.
Published online July 15, 2006.
A study for headaches and backaches occurrence after diagnostic lumbar puncture in children
In Young Choi, Kyong Yun Park, Young Taek Jang
Department of Pediatrics, Presbyterian Medical Center, Chonju, Korea
소아에서 척수액 검사 후 발생하는 두통과 요통에 대한 연구
최인영, 박경연, 장영택
전주예수병원 소아과
Correspondence: 
Young Taek Jang, Email: godlove@hitel.net
Abstract
Purpose
: Our goals were to determine the frequency of headaches and backaches occurring as a side effect following lumbar puncture in children, and to investigate various factors that might influence the frequency of headaches and backaches.
Methods
: From October 2004 to February 2006, we enrolled 148 patients aged 2 to 15 years who received diagnostic lumbar puncture at the Presbyterian Medical Center, Chonju, Korea. Patient data were collected for age, sex, number of puncture attempts, volume of cerebrospinal fluid(CSF), bevel orientation of puncture needle, cell count in CSF, periods of absolute bed rest, and the frequency and duration of headaches and backaches.
Results
: Headaches occurred in 8 patients and backaches occurred in 40 patients. Headaches were found both to occur significantly more frequently in patients over age 10 and to last longer when the bevel orientation of the puncture needle was inserted toward the cranium rather than laterally. Backaches lasted longer in males than in females. The other factors evaluated showed no relationship at all to the frequency and duration of headaches and backaches.
Conclusion
: Following lumbar puncture, headaches were common in patients over age 10, and lasted longer when the bevel orientation was toward the cranium. Backaches lasted longer in males than in females. In light of these findings, we recommend taking special care when performing lumbar puncture for CSF examination in patients over age 10.
Key Words: Diagnostic lumbar puncture , Headaches , Backaches


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