Occurrence of postdural puncture headache-A randomized controlled trial comparing 22G Sprotte and Quincke.

ABSTRACT:

Objective

To assess the incidence of postdural puncture headache (PDPH) using 22-gauge atraumatic needle (Sprotte, 22GS) compared with 22-gauge traumatic needle (Quincke, 22GQ).

Background

Diagnostic lumbar puncture (dLP) is commonly complicated by PDPH. Despite evidence to support the use of 22GS, European neurologists seem to keep using 22GQ.

Methods

This was a randomized, double-blind study. Adults (age: 18-60 years) scheduled for dLP were included. dLP and CSF acquisition were performed in accordance with highly standardized procedures. Patients were followed up on days 2 and 7.

Results

In total, 172 patients were randomized and lumbar punctured, and 21 were excluded due to wrong inclusion (n = 11), needle switch (n = 7), failed dLP (n = 1), withdrawal (n =

SUBMITTER: Sjulstad AS 

PROVIDER: S-EPMC7749614 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature