Muñoz H, Rufs J, Dagnino J, Bugedo G, de la Fuente J
Departamento de Anestesiología, Hospital Clínico de la P Universidad Católica de Chile, Santiago.
Rev Med Chil. 1991 Jun;119(6):680-2.
Lumbar puncture is frequently used for diagnostic and therapeutic purposes in children. Theoretically, this group of patients should have high rates of post lumbar puncture headache. However, the scant available literature points to a surprisingly low incidence and an apparently mild course. We present a 7 year-old patient with a severe post lumbar puncture headache successfully treated with an epidural blood patch. To our knowledge, this has not been reported in children younger than 10 years. We believe this procedure should be considered in pediatric patients with post lumbar puncture headache.
腰椎穿刺在儿童中常用于诊断和治疗目的。从理论上讲,这类患者腰椎穿刺后头痛的发生率应该很高。然而,现有的少量文献表明其发生率低得出奇,且病程明显较轻。我们报告了一名7岁患有严重腰椎穿刺后头痛的患者,经硬膜外血贴成功治疗。据我们所知,10岁以下儿童中尚未有此报道。我们认为,对于患有腰椎穿刺后头痛的儿科患者应考虑采用此方法。