Fries J
Ugeskr Laeger. 1995 Nov 6;157(45):6249-52.
Prolonged cerebrospinal fluid leakage from the dural puncture site is considered the most important factor in the development of post-myelography headache. Incidences of post-myelography headache and post dural puncture headache vary a lot--possible reasons are discussed. The statement that patients with a low substance P level in cerebrospinal fluid are prone to developing a post dural puncture headache seems especially interesting. Articles considering clinical as well as experimental studies are reviewed.
硬膜穿刺部位脑脊液长时间漏出被认为是脊髓造影后头痛发生的最重要因素。脊髓造影后头痛和硬膜穿刺后头痛的发生率差异很大,文中讨论了可能的原因。脑脊液中P物质水平低的患者容易发生硬膜穿刺后头痛这一说法似乎特别有意思。本文回顾了涉及临床及实验研究的文章。