Comparison of Prevalence of Post-Dural Puncture Headache between Six hour- Supine Recumbence and Early Ambulation after Lumbar Puncture in Thai Patients: A Randomized Controlled Study
Sirakarn Tejavanija MD*, Pasiri Sithinamsuwan MD*, Nakorn Sithinamsuwan MD*, Samart Nidhinandana MD*, Jithanorm Suwantamee MD*
Affiliation : * Division of Neurology, Department of Medicine, Phramongkutklao Hospital and college
Objective : To compare the prevalence of Post Dural Puncture Headache (PDPH) between 6 hour- supine
recumbence and early ambulation in Thai patients.
Materials and Methods : The present study was a prospective controlled study and enrolled the patients who
underwent Lumbar Puncture (LP) from Phramongkutklao Hospital, Thailand. The background characteris-
tics were recorded. Standard LP method was done. The patients were randomized to 6 hour-supine recumbence
and < 1hour- (early ambulation) groups. Prevalence and characteristics of PDPH were compared.
Results : Of 65 patients, there were 33 patients (50.8%) in the 6 hour-recumbent group and 32 patients
(49.2%) in the early ambulation group. The background characteristics and CerebroSpinal Fluid (CSF)
findings were not different between the groups. Prevalence of PDPH was 16.9% (overall), 18.2% (6 hours)
and 15.6% (early ambulation). There was no statistically significant difference in prevalence, pattern and
severity of PDPH between the groups.
Conclusion : The prevalence and characteristics of PDPH were not different between the 6 hour- recumbence
and early ambulation groups.
Keywords : Post-dural puncture headache, PDPH, Recumbence, Early ambulation, Prevalence, Risk factor, Lumbar puncture
