Reply To: Just had lumbar puncture for cidp diagnosis?

jk
April 3, 2016 at 2:39 pm

hello and welcome. I recall having a severe headache for days after one of my spinal lumbar punctures. When I called the local ER I was told, ‘go back where they did the procedure.’ Of course, your results may vary.

I note a web search recommends conservative treatment first. Here’s one suggestion from Mayo Clinic- “Conservative management includes adequate hydration to try to increase CSF pressure. Sometimes this is accomplished by IV hydration or drinking things high in caffeine, such as Mountain Dew soft drink, to produce a vasoconstriction and try to increase CSF pressure in this way. Another treatment may be strict bed rest for 24-48 hours..”

So, get yourself to bed with a case of mountain Dew and drink up!

https://www.urmc.rochester.edu/imaging/patients/procedures/epidural-patch.aspx

The Univ of Wisconsin Dept of Radiology recommends “The initial treatment should consist of fluids and rest
prior to treating with a blood patch.”

https://www.radiology.wisc.edu/fileShelf/sections/msk/spine/Blood_Patch_for_CSF_Leaks.pdf?buster=1459668576

I treated conservatively for days and days. Afterwards I cursed myself for not going to get the blood patch. Too much needless suffering.

Some sites talk about a 90% success rate on the first patch going up to 95% with a second patch.

Good luck