Diener H C, Bendig M, Hempel V
Fortschr Neurol Psychiatr. 1985 Sep;53(9):344-9. doi: 10.1055/s-2007-1001978.
The present study recorded prospectively subjective complaints after lumbar puncture as diagnostic procedure (n = 59), spinal - (n = 41) and peridural anaesthesia (n = 45) over a time interval of 28 days. Posture dependent headaches were never observed following peridural anaesthesis. This result disproves the hypothesis of a purely psychogenic origin of postpunctional headache. The frequency of occurrence of the postpunctional syndrome was 39% after lumbar puncture, but only 4.9% after spinal anaesthesis. The observed difference is due to the fact that needles with a smaller diameter are applied in spinal anaesthesia.
本研究前瞻性记录了59例作为诊断程序的腰椎穿刺、41例脊髓麻醉和45例硬膜外麻醉后28天内的主观不适主诉。硬膜外麻醉后从未观察到体位性头痛。这一结果反驳了功能性头痛纯粹起源于心理因素的假说。功能性综合征的发生率在腰椎穿刺后为39%，但在脊髓麻醉后仅为4.9%。观察到的差异是由于脊髓麻醉使用的针直径较小。
