J Korean Child Neurol Soc.  2007 May;15(1):106-110.

A Case of Cerebral Sinus Expansion and Concurrent Diffuse Meningeal Enhancement in Postlumbar Puncture Headache

• Lee HS
• Oh JW
• Yoo HJ
• Park NH

Abstract

Post-lumbar puncture headache (PLPH) is a common complication developed after lumbar puncture, and it usually begins within 48 hours. The pain is postural; the it is relieved by reclining and worsened by sitting. Moreover, there are some related symptoms such as nausea, vomiting, tinnitus and blurred vision. PLPH is rare in children and it is effectively treated by bed rest and conservative treatment. However, when the pain is too severe or continuous or different types of headache are seen after LP, it is worthwhile to conduct brain MRI for exact diagnosis and proper treatment. Therefore, we report a patient with PLPH in whom brain MRI showed diffuse meningeal enhancement and concurrent cerebral venous expansion, with a review of literatures.

Keyword

Lumbar puncture; Headache

MeSH Terms

Bed Rest
Brain
Child
Diagnosis
Headache*
Humans
Magnetic Resonance Imaging
Nausea
Post-Dural Puncture Headache
Punctures*
Spinal Puncture
Tinnitus
Vomiting