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NEUROLOGY 2006;67:1492-1494
© 2006 American Academy of Neurology
Brief Communications

Standard vs atraumatic Whitacre needle for diagnostic lumbar puncture: A randomized trial

R. Lavi, MD, D. Yernitzky, MD, J. M. Rowe, MD, A. Weissman, MD, D. Segal, MD and I. Avivi, MD

From the Departments of Anesthesiology (R.L., A.W., D.S.), Neurology (D.Y.), and Hematology (J.M.R., I.A.), Rambam Medical Center, Haifa, Israel.

Address correspondence and reprint requests to Dr. Ronit Lavi, Anesthesiology Department, Rambam Medical Center, PO Box 9602, Haifa 31096, Israel; e-mail: lavironit{at}hotmail.com.

In order to define the impact of needle type on post-lumbar puncture headache (PLPH), we performed a prospective, randomized trial comparing the incidence of PLPH in patients undergoing lumbar punctures (LPs) with traumatic vs atraumatic 22-gauge needles. Fifty-eight patients underwent 85 LPs. The incidence of PLPH was 36% in the traumatic vs 3% in the atraumatic group (p = 0.002).

Disclosure: The authors report no conflicts of interest.

Received April 11, 2006. Accepted in final form July 6, 2006.




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