A simple treatment of post-lumbar-puncture headache

J Emerg Med. 1989 Jan-Feb;7(1):29-31. doi: 10.1016/0736-4679(89)90406-x.

Abstract

We report a case of post-lumbar-puncture headache successfully treated with intravenous caffeine sodium benzoate. The patient presented to the emergency department with a severe headache three days after a myelogram of the lumbar region. Caffeine sodium benzoate (500 mg) in 1 liter of fluid (D5LR) intravenously over one and a half hours was administered. The patient reported complete resolution of symptoms and no recurrence of headache. Caffeine sodium benzoate is a simple treatment of post-lumbar-puncture headaches. It should be considered as a safe alternative to an epidural blood patch for the treatment of post-lumbar-puncture headaches.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Benzoates / administration & dosage
  • Benzoates / pharmacology
  • Benzoates / therapeutic use*
  • Caffeine / administration & dosage
  • Caffeine / pharmacology
  • Caffeine / therapeutic use*
  • Drug Combinations / administration & dosage
  • Drug Combinations / pharmacology
  • Drug Combinations / therapeutic use
  • Female
  • Headache / drug therapy*
  • Headache / etiology
  • Humans
  • Infusions, Intravenous
  • Spinal Puncture / adverse effects*

Substances

  • Benzoates
  • Drug Combinations
  • Caffeine
  • caffeine, sodium benzoate drug combination