The influence of early ambulation and other factors on headache after lumbar myelography.
J Bone Joint Surg Br
; 85(4): 531-4, 2003 May.
Article
de En
| MEDLINE
| ID: mdl-12793558
ABSTRACT
In order to determine the influence of early ambulation and other factors on headaches occurring after lumbar myelography we randomised 207 patients (127 men and 80 women) into two groups. Following the investigation, we allowed the 101 patients (65 men and 36 women) in group A to sit or stand freely, while we confined the 106 patients (62 men and 44 women) in group B to bed for 20 hours. The nine patients in group B who could not maintain bed rest were excluded. There was no significant difference between the two groups as regards the prevalence of spinal headache (8.9% in group A v 14.4% in group B). Patients who reported headaches, however, were significantly more likely to be women (18.7%) than men (73%), be younger (mean age 45 years v 56 years), have a higher cerebrospinal pressure before removal of fluid (mean values 172 v 137 mm H2O) and a lower systolic (mean values 120 v 134 mmHg) and diastolic blood pressure. We conclude that, although other factors may be associated with headaches, late ambulation is not effective in preventing spinal headaches after lumbar myelography.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Alitement
/
Myélographie
/
Lever précoce
/
Céphalée
Type d'étude:
Clinical_trials
/
Etiology_studies
/
Risk_factors_studies
Limites:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
J Bone Joint Surg Br
Année:
2003
Type de document:
Article
Pays d'affiliation:
Japon