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Neurology 2001;57:2310-2312
© 2001 American Academy of Neurology
Brief Communications

"Atraumatic" Sprotte needle reduces the incidence of post-lumbar puncture headaches

M. Strupp, MD, O. Schueler, MD, A. Straube, MD, S. Von Stuckrad–Barre and T. Brandt, MD FRCP

From the Department of Neurology, University of Munich, Klinikum Grosshadern, Munich, Germany.

Address correspondence and reprint requests to Dr. Michael Strupp, Department of Neurology, Ludwig-Maximilians University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, D-81366 Munich, Germany; e-mail: mstrupp{at}nefo.med.uni-muenchen.de

Post-lumbar puncture headache (PLPH) is best explained by spinal fluid leakage due to delayed closure of a dural defect. In a prospective, randomized, double-blind study, taking into consideration all known methodological problems, the authors compared the incidence of PLPH using the "atraumatic" Sprotte needle vs the "traumatic" Quincke needle. Of the 230 patients included in the final analysis, 24.4% of patients in the "traumatic" group developed PLPH, whereas only 12.2% of patients in the "atraumatic" group did (p < 0.05). Therefore, use of the "atraumatic" Sprotte needle for lumbar puncture is recommended.




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Correspondence:

Read all Correspondence

"Atraumatic" Sprotte needle reduces the incidence of post-lumbar puncture headaches
Axel Ellrodt
Neurology Online, 28 Jan 2002 [Full text]
"Atraumatic" Sprotte needle reduces the incidence of post-lumbar puncture headaches
Klaus V Toyka, et al.
Neurology Online, 3 May 2002 [Full text]
Reply to Letter to the Editor
Michael Strupp, et al.
Neurology Online, 3 May 2002 [Full text]

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