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Cerebrospinal fluid opening pressure measurements in acute headache patients and in patients with either chronic or no pain
Author(s) -
Bø S. H.,
Davidsen E. M.,
Benth J. Š.,
Gulbrandsen P.,
Dietrichs E.
Publication year - 2010
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.2010.01368.x
Subject(s) - medicine , sciatica , myelography , cerebrospinal fluid , lumbar puncture , lumbar , cerebrospinal fluid pressure , outpatient clinic , prospective cohort study , anesthesia , surgery , spinal cord , psychiatry
Bø SH, Davidsen EM, Benth JŠ, Gulbrandsen P, Dietrichs E. Cerebrospinal fluid opening pressure measurements in acute headache patients and in patients with either chronic or no pain. Acta Neurol Scand: 2010: 122 (Suppl. 190): 6–11. © 2010 John Wiley & Sons A/S. Objective – To observe cerebrospinal fluid opening pressure (CSFOP) in different clinical settings and in patients with acute, chronic and no pain and to observe possible differences because of age and sex. Method – In this prospective study, CSFOP was measured in lumbar puncture in three different settings of clinical investigations; patients with acute headache investigated for subarachnoidal haemorrhage ( n = 222), patients with sciatica undergoing myelography ( n = 61), and patients in an outpatient neurological clinic ( n = 65). Results – The mean CSFOP in cm H 2 O was 17.3 for the myelography patients, 19.1 for the outpatients, 19.3 for the primary headache patients and 22.4 for the patients with secondary headache. Large proportions of patients in all groups had CSFOP above 20 cm H 2 O. The female patients in all groups had lower mean CSFOP than the male patients. Conclusion – The CSFOP levels found in clinical practice among patients without intracranial lesions or infectious conditions were broader than expected. Measurement of CSFOP is of limited value as diagnostic procedure if not closely linked to clinical symptoms and finds.