Do patients with headaches need a lumbar puncture?

It mainly depends on what causes it, such as the common cold, pneumonia, encephalitis, etc. Specifically, you can go to the hospital for a check-up.

Do patients with headaches need to have a lumbar puncture? This question is a very important question in medicine, some doctors need to make money, nonsense, you have to do it if you don't stick to the spectrum, headache, what do you need to wear for examination? In my opinion, there is no need to do it.

It is recommended that patients go to the hospital to check blood glucose, lipids, and blood rheology, and also check the head CT and transcranial Doppler ultrasound to determine whether the patient has insufficient blood supply to the brain. If the patient is caused by hyperlipidemia, hypolipidemic** is recommended. If the patient is caused by diabetes, the patient can be given to control the diabetes mellitus, on the basis of the original disease to improve the blood circulation of the brain, the patient can use the serum brain granules, or intravenous drip of the purified preparation of Chinese patent medicine, such as Shuxuetong.

In addition, patients should drink more water, and the daily water intake should reach 2000ml, so as to ensure the effective circulating blood volume of the body, and the blood supply to the brain will also be fully guaranteed.

Hello, whether a headache patient needs to do a lumbar puncture examination or not should be determined according to the actual situation of the patient; The purpose of LPP is to remove cerebrospinal fluid for further laboratory testing. It is a routine examination in neurology and one of the important tests for diagnosing headache. Because many people do not understand its meaning and essence, there is a certain misunderstanding (such as thinking that lumbar puncture is "spinal cord extraction", which will "harm the body", etc.), some patients are afraid of lumbar puncture as soon as they mention it, and are unwilling to accept the puncture examination, which delays the diagnosis and hope.

Analysis: Hello, the main purpose of lumbar puncture is to check the cerebrospinal fluid biochemistry routine or culture. Lesions of the brain and spinal cord or vascular disease can be diagnosed. It is a relatively minor puncture surgery. Don't worry.

Suggestions: After surgery, you should go to the pillow and lie flat for four to six hours, keep the wound dry and clean, and tell the medical staff in time if you have any discomfort.

The purpose of a lumbar puncture is to remove the cerebrospinal fluid (CSF) for further laboratory tests and to determine the pressure of the cerebrospinal fluid (CSF) and to see if the spinal canal is patencious. Lumbar puncture has its unique diagnostic and valuable value for headache patients. Many patients are particularly afraid of lumbar puncture, afraid that lumbar puncture will bring life-threatening or cause sequelae, worry that lumbar puncture will cause low back pain and can not engage in heavy physical labor, and even some people think that lumbar puncture is to pump "bone marrow oil", the above views are not scientifically based.

But it is necessary to strictly grasp the contraindications of lumbar puncture. The purpose of lumbar puncture for patients with headache is mainly to rule out organic headache, help to determine the cause of organic headache, and administer it as necessary. Patients with headache may need a lumbar puncture if:

Lumbar puncture is indicated for patients with sudden headache, no abnormality on head CT, and suspected subarachnoid hemorrhage. (i.e., lumbar puncture aspirates bloody cerebrospinal fluid from the subarachnoid space and injects an equal amount of normal saline.) This ** is to flush out the bloody CSF, and can flush away some of the chemicals that cause cerebral vasospasm, and more importantly, significantly reduce the patient's headache).

The pressure in the cerebrospinal fluid is measured by lumbar puncture to determine whether it is a low-pressure or high-pressure headache. When there is a suspicion of headache caused by a central nervous system infection such as viruses, Mycobacterium tuberculosis, pyogenic bacteria, cryptococcus, parasites, etc., lumbar puncture should be done, and special cytological or microbiological tests should be performed to help diagnose and differential diagnosis of infection. For patients with brain tumors, the injection of chemotherapy drugs into the subarachnoid space through lumbar penetration can effectively solve the problem that some chemotherapy drugs are not easy to penetrate the blood-brain barrier, reduce the toxicity of systemic drugs, control the primary disease and relieve headache.

You have fever, and many reasons are not very clear, although after **, the symptoms are better, but the reason is still not very clear, in order to prevent the recurrence of the condition, it is recommended to do a lumbar puncture, take some cerebrospinal fluid for relevant laboratory tests, although the results may not be clear**, but it provides great help for diagnosis, so it is still recommended to carry out relevant examinations.

This time, it is necessary to locate the puncture and determine the site where the puncture will be performed, or to perform the puncture under the guidance of CT.