The lumbar puncture, a basic clinical procedure, involves also important
changes in the circulation of the liquor according to the Monro-Kellie law. The
postural headache and the associated neurological disorders, mainly the abducens
palsy, are quite similar to the clinical picture observed in the SIH (Spontaneous Intracranic
Hipotension).
The Author presents a casistic review of adverse effects, headache and neurological
disorders, after lumbar puncture in the obstetric anesthesiology, and discusses
the possible ethiological hypotheses, with particular regard to the CVT onset
(Cerebral Venous Thrombosis) as a result of a lumbar puncture.
Patients with headaches that is refractory to usual therapy and patients with
neurological deficit require cerebral imaging.
