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Journal of the Korean Child Neurology Society 2007;15(1):106-110.
Published online May 30, 2007.
A Case of Cerebral Sinus Expansion and Concurrent Diffuse Meningeal Enhancement in Postlumbar Puncture Headache.
Hyo Sang Lee, Jin Won Oh, Hwang Jae Yoo, Noh Hyuck Park
1Department of Pediatrics, College of Medicine, Kwandong University, Koyang, Korea. heavendoctor@yahoo.co.kr
2Department of Radiology, College of Medicine, Kwandong University, Koyang, Korea.
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.
Key Words: Lumbar puncture, Headache
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