Question
Which of the following are the features of post-lumbar puncture headache?
- Dull aching occipitofrontal headache
- Worse on waking but improves during the day
- Recumbency usually improves the headache within minutes
Select the correct answer using the code given below:
| A. |
1 and 2 only
|
| B. |
2 and 3 only
|
| C. |
1 and 3 only
|
| D. |
1, 2 and 3
|
Show Answer
|
Correct Answer » C
Explanation
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|
Post-dural puncture headache (PDPH) occurs due to persistent cerebrospinal fluid (CSF) leakage through the dural puncture site, resulting in low CSF pressure. It typically develops 12–72 hours after lumbar puncture or spinal anesthesia and is characteristically postural.
Explanation of Each Statement
1. Dull aching occipitofrontal headache
- True.
- PDPH is typically a dull occipital or occipitofrontal headache, although it may occasionally be throbbing.
2. Worse on waking but improves during the day
- False.
- This pattern is typical of raised intracranial pressure.
- PDPH is usually absent on waking, becomes worse after sitting or standing, and worsens during the day due to the upright posture.
3. Recumbency usually relieves the headache within minutes
- True.
- The hallmark of PDPH is a postural headache that is aggravated by sitting or standing and relieved rapidly on lying down.
