Changes in Cerebral Haemodynamics in Cases of Post-Lumbar Puncture Headache: A Prospective Transcranial Doppler Ultrasound Study
We used transcranial Doppler ultrasonography in 45 patients to investigate if changes in haemodynamics in the major arteries of the brain base occurred after lumbar puncture and whether or not patients with or without post-lumbar puncture headache differ with respect to their cerebral haemodynamic p...
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| Veröffentlicht in: | Cephalalgia 1990-06, Vol.10 (3), p.117-122 |
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| creator | Göbel, Hartmut Klostermann, Horst Lindner, Volker Schenkl, Sabine |
| description | We used transcranial Doppler ultrasonography in 45 patients to investigate if changes in haemodynamics in the major arteries of the brain base occurred after lumbar puncture and whether or not patients with or without post-lumbar puncture headache differ with respect to their cerebral haemodynamic parameters before and after lumbar puncture. Before lumbar puncture, patients with post-lumbar puncture headache differed from patients without post-lumbar puncture headache in that they showed significantly higher flow velocities and significant asymmetry of flow velocities with lateralization to the right (p £ 0.05). Patients without post-lumbar puncture headache, on the other hand, showed non-significant flow velocity lateralization to the left. Forty-eight hours after lumbar puncture, both groups demonstrated symmetrical flow velocities. In addition, only patients with post-lumbar puncture headache showed a significant reduction in the flow velocity of the right middle cerebral artery (p £ 0.05). These findings suggest that it is not only absolute flow velocity that plays a part in the event of headache, the interhemispheric relation of cerebral haemodynamics also plays a fundamental role. |
| doi_str_mv | 10.1046/j.1468-2982.1990.1003117.x |
| format | Article |
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Before lumbar puncture, patients with post-lumbar puncture headache differed from patients without post-lumbar puncture headache in that they showed significantly higher flow velocities and significant asymmetry of flow velocities with lateralization to the right (p £ 0.05). Patients without post-lumbar puncture headache, on the other hand, showed non-significant flow velocity lateralization to the left. Forty-eight hours after lumbar puncture, both groups demonstrated symmetrical flow velocities. In addition, only patients with post-lumbar puncture headache showed a significant reduction in the flow velocity of the right middle cerebral artery (p £ 0.05). These findings suggest that it is not only absolute flow velocity that plays a part in the event of headache, the interhemispheric relation of cerebral haemodynamics also plays a fundamental role.</description><identifier>ISSN: 0333-1024</identifier><identifier>EISSN: 1468-2982</identifier><identifier>DOI: 10.1046/j.1468-2982.1990.1003117.x</identifier><identifier>PMID: 2245456</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Blood Flow Velocity ; Body Height ; Body Weight ; Cerebral Arteries - diagnostic imaging ; Cerebral Arteries - physiopathology ; Cerebral haemodynamics ; Cerebrovascular Circulation ; Disease Susceptibility ; Double-Blind Method ; Dura Mater - injuries ; Female ; flow velocity ; Headache - diagnostic imaging ; Headache - etiology ; Headache - physiopathology ; Humans ; interhemispheric relation ; Male ; Middle Aged ; Personality ; post‐lumbar puncture headache ; Prospective Studies ; Random Allocation ; Spinal Puncture - adverse effects ; spinal tap ; transcranial Doppler ultrasonography ; Ultrasonography</subject><ispartof>Cephalalgia, 1990-06, Vol.10 (3), p.117-122</ispartof><rights>1990 International Headache Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3377-c6149cb3b28c1505b14948df4e7396544c905a905dd14dfe1bdcbfb573c88d943</citedby><cites>FETCH-LOGICAL-c3377-c6149cb3b28c1505b14948df4e7396544c905a905dd14dfe1bdcbfb573c88d943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1046/j.1468-2982.1990.1003117.x$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1046/j.1468-2982.1990.1003117.x$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,1414,21808,27913,27914,43610,43611,45563,45564</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2245456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Göbel, Hartmut</creatorcontrib><creatorcontrib>Klostermann, Horst</creatorcontrib><creatorcontrib>Lindner, Volker</creatorcontrib><creatorcontrib>Schenkl, Sabine</creatorcontrib><title>Changes in Cerebral Haemodynamics in Cases of Post-Lumbar Puncture Headache: A Prospective Transcranial Doppler Ultrasound Study</title><title>Cephalalgia</title><addtitle>Cephalalgia</addtitle><description>We used transcranial Doppler ultrasonography in 45 patients to investigate if changes in haemodynamics in the major arteries of the brain base occurred after lumbar puncture and whether or not patients with or without post-lumbar puncture headache differ with respect to their cerebral haemodynamic parameters before and after lumbar puncture. Before lumbar puncture, patients with post-lumbar puncture headache differed from patients without post-lumbar puncture headache in that they showed significantly higher flow velocities and significant asymmetry of flow velocities with lateralization to the right (p £ 0.05). Patients without post-lumbar puncture headache, on the other hand, showed non-significant flow velocity lateralization to the left. Forty-eight hours after lumbar puncture, both groups demonstrated symmetrical flow velocities. In addition, only patients with post-lumbar puncture headache showed a significant reduction in the flow velocity of the right middle cerebral artery (p £ 0.05). These findings suggest that it is not only absolute flow velocity that plays a part in the event of headache, the interhemispheric relation of cerebral haemodynamics also plays a fundamental role.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Flow Velocity</subject><subject>Body Height</subject><subject>Body Weight</subject><subject>Cerebral Arteries - diagnostic imaging</subject><subject>Cerebral Arteries - physiopathology</subject><subject>Cerebral haemodynamics</subject><subject>Cerebrovascular Circulation</subject><subject>Disease Susceptibility</subject><subject>Double-Blind Method</subject><subject>Dura Mater - injuries</subject><subject>Female</subject><subject>flow velocity</subject><subject>Headache - diagnostic imaging</subject><subject>Headache - etiology</subject><subject>Headache - physiopathology</subject><subject>Humans</subject><subject>interhemispheric relation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Personality</subject><subject>post‐lumbar puncture headache</subject><subject>Prospective Studies</subject><subject>Random Allocation</subject><subject>Spinal Puncture - adverse effects</subject><subject>spinal tap</subject><subject>transcranial Doppler ultrasonography</subject><subject>Ultrasonography</subject><issn>0333-1024</issn><issn>1468-2982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkEtv3CAUhVHVKJ0k_QmVUBfdeQoGv7KL3DRTaaSMlGSNeFwnHtnGBdNmdv3pxbKVdbsAdDnnngsfQp8p2VLC86_HLeV5maRVmW5pVc23hFFabF_foc2b9B5tCGMsoSTlH9CF90dCSJaT_BydpynPeJZv0J_6RQ7P4HE74BocKCc7vJPQW3MaZN_qRZE-WmyDD9ZPyT70Sjp8CIOeggO8A2mkfoFrfIMPzvoR9NT-Avzo5OB13NqY-c2OYwcOP3WTk96GweCHKZjTFTprZOfh43peoqfvt4_1Ltnf3_2ob_aJZqwoEp1TXmnFVFpqmpFMxZKXpuFQsCrPONcVyWRcxlBuGqDKaNWorGC6LE3F2SX6suSOzv4M4CfRt15D18kBbPCiJJQVnLJovF6MOn7FO2jE6NpeupOgRMz4xVHMjMXMWMz4xYpfvMbmT-uUoHowb60r76jXi_677eD0H8mivj3s1iqmFEuKl88gjja4IaL7l_f9BSHhpp0</recordid><startdate>199006</startdate><enddate>199006</enddate><creator>Göbel, Hartmut</creator><creator>Klostermann, Horst</creator><creator>Lindner, Volker</creator><creator>Schenkl, Sabine</creator><general>SAGE Publications</general><general>Blackwell Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199006</creationdate><title>Changes in Cerebral Haemodynamics in Cases of Post-Lumbar Puncture Headache: A Prospective Transcranial Doppler Ultrasound Study</title><author>Göbel, Hartmut ; Klostermann, Horst ; Lindner, Volker ; Schenkl, Sabine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3377-c6149cb3b28c1505b14948df4e7396544c905a905dd14dfe1bdcbfb573c88d943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Flow Velocity</topic><topic>Body Height</topic><topic>Body Weight</topic><topic>Cerebral Arteries - diagnostic imaging</topic><topic>Cerebral Arteries - physiopathology</topic><topic>Cerebral haemodynamics</topic><topic>Cerebrovascular Circulation</topic><topic>Disease Susceptibility</topic><topic>Double-Blind Method</topic><topic>Dura Mater - injuries</topic><topic>Female</topic><topic>flow velocity</topic><topic>Headache - diagnostic imaging</topic><topic>Headache - etiology</topic><topic>Headache - physiopathology</topic><topic>Humans</topic><topic>interhemispheric relation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Personality</topic><topic>post‐lumbar puncture headache</topic><topic>Prospective Studies</topic><topic>Random Allocation</topic><topic>Spinal Puncture - adverse effects</topic><topic>spinal tap</topic><topic>transcranial Doppler ultrasonography</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Göbel, Hartmut</creatorcontrib><creatorcontrib>Klostermann, Horst</creatorcontrib><creatorcontrib>Lindner, Volker</creatorcontrib><creatorcontrib>Schenkl, Sabine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cephalalgia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Göbel, Hartmut</au><au>Klostermann, Horst</au><au>Lindner, Volker</au><au>Schenkl, Sabine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in Cerebral Haemodynamics in Cases of Post-Lumbar Puncture Headache: A Prospective Transcranial Doppler Ultrasound Study</atitle><jtitle>Cephalalgia</jtitle><addtitle>Cephalalgia</addtitle><date>1990-06</date><risdate>1990</risdate><volume>10</volume><issue>3</issue><spage>117</spage><epage>122</epage><pages>117-122</pages><issn>0333-1024</issn><eissn>1468-2982</eissn><abstract>We used transcranial Doppler ultrasonography in 45 patients to investigate if changes in haemodynamics in the major arteries of the brain base occurred after lumbar puncture and whether or not patients with or without post-lumbar puncture headache differ with respect to their cerebral haemodynamic parameters before and after lumbar puncture. Before lumbar puncture, patients with post-lumbar puncture headache differed from patients without post-lumbar puncture headache in that they showed significantly higher flow velocities and significant asymmetry of flow velocities with lateralization to the right (p £ 0.05). Patients without post-lumbar puncture headache, on the other hand, showed non-significant flow velocity lateralization to the left. Forty-eight hours after lumbar puncture, both groups demonstrated symmetrical flow velocities. In addition, only patients with post-lumbar puncture headache showed a significant reduction in the flow velocity of the right middle cerebral artery (p £ 0.05). These findings suggest that it is not only absolute flow velocity that plays a part in the event of headache, the interhemispheric relation of cerebral haemodynamics also plays a fundamental role.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>2245456</pmid><doi>10.1046/j.1468-2982.1990.1003117.x</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SAGE Complete A-Z List |
| subjects | Adult Aged Aged, 80 and over Blood Flow Velocity Body Height Body Weight Cerebral Arteries - diagnostic imaging Cerebral Arteries - physiopathology Cerebral haemodynamics Cerebrovascular Circulation Disease Susceptibility Double-Blind Method Dura Mater - injuries Female flow velocity Headache - diagnostic imaging Headache - etiology Headache - physiopathology Humans interhemispheric relation Male Middle Aged Personality post‐lumbar puncture headache Prospective Studies Random Allocation Spinal Puncture - adverse effects spinal tap transcranial Doppler ultrasonography Ultrasonography |
| title | Changes in Cerebral Haemodynamics in Cases of Post-Lumbar Puncture Headache: A Prospective Transcranial Doppler Ultrasound Study |
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