• J Clin Neurosci · Mar 2014

    Multicenter Study Clinical Trial

    Reducing post-lumbar puncture headaches with small bore atraumatic needles.

    • Eric D Vidoni, Jill K Morris, Kayla Raider, Jeffrey M Burns, and Alzheimer’s Disease Neuroimaging Initiative.
    • University of Kansas Alzheimer's Disease Center, 4350 Shawnee Mission Parkway, MS 6002 Fairway, KS 66205, USA.
    • J Clin Neurosci. 2014 Mar 1; 21 (3): 536-7.

    AbstractLumbar puncture for testing of Alzheimer's disease pathophysiology for diagnostic confirmation is likely to become more common in the coming years. Minimizing adverse effects from this testing will be essential for clinical practice. Small bore, atraumatic needles reduce the occurrence of post-lumbar puncture headache (PLPH). Our goal was to extend this recommendation specifically to a well-characterized aging population. We assessed PLPH in the Alzheimer's Disease Neuroimaging Initiative cohort and found that PLPH occurrence was reduced only when using a 24 gauge atraumatic needle. We recommend that lumbar punctures for clinical and research purposes in Alzheimer's disease be conducted with 24 gauge atraumatic needles. Copyright © 2013 Elsevier Ltd. All rights reserved.

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