Performance and complications of lumbar puncture in memory clinics

• Verfasst von: Duits, Flora H. [VerfasserIn]
• Verfasst von: Frölich, Lutz [VerfasserIn]
• Titel: Performance and complications of lumbar puncture in memory clinics
• Titelzusatz: results of the multicenter lumbar puncture feasibility study
• Verf.angabe: Flora H. Duits, Pablo Martinez-Lage, Claire Paquet, Sebastiaan Engelborghs, Alberto Lleó, Lucrezia Hausner, José L. Molinuevo, Erik Stomrud, Lucia Farotti, Inez H.G.B. Ramakers, Magda Tsolaki, Constance Skarsgård, Ragnar Åstrand, Anders Wallin, Martin Vyhnalek, Marie Holmber-Clausen, Orestes V. Forlenza, Laura Ghezzi, Martin Ingelsson, Erik I. Hoff, Gerwin Roks, Alexandre de Mendonça, Janne M. Papma, Andrea Izagirre, Mariko Taga, Hanne Struyfs, Daniel A. Alcolea, Lutz Frölich, Mircea Balasa, Lennart Minthon, Jos W.R. Twisk, Staffan Persson, Henrik Zetterberg, Wiesje M. van der Flier, Charlotte E. Teunissen, Philip Scheltens, Kaj Blennow
• E-Jahr: 2016
• Jahr: February 2016
• Umfang: 10 S.
• Fussnoten: Gesehen am 28.01.2019
• Titel Quelle: Enthalten in: Alzheimer's and dementia
• Ort Quelle: Hoboken, NJ : Wiley, 2005
• Jahr Quelle: 2016
• Band/Heft Quelle: 12(2016), 2, Seite 154-163
• ISSN Quelle: 1552-5279
• DOI: doi:10.1016/j.jalz.2015.08.003
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Alzheimer's disease
• Sach-SW: Cognitive disorders
• Sach-SW: Lumbar puncture
• Sach-SW: Memory clinic
• Sach-SW: Multicenter study on LP feasibility
• Sach-SW: Post-LP complications
• Sach-SW: Post-LP headache
• K10plus-PPN: 1586626078

Abstract

Introduction: Lumbar puncture (LP) is increasingly performed in memory clinics. We investigated patient-acceptance of LP, incidence of and risk factors for post-LP complications in memory clinic populations. Methods: We prospectively enrolled 3868 patients (50% women, age 66 ± 11 years, mini mental state examination 25 ± 5) at 23 memory clinics. We used logistic regression analysis using generalized estimated equations to investigate risk factors for post-LP complications, such as typical postlumbar puncture headache (PLPH) and back pain. Results: A total of 1065 patients (31%) reported post-LP complaints; 589 patients (17%) reported back pain, 649 (19%) headache, of which 296 (9%) reported typical PLPH. Only few patients needed medical intervention: 11 (0.3%) received a blood patch, 23 (0.7%) were hospitalized. The most important risk factor for PLPH was medical history of headache. An atraumatic needle and age >65 years were preventive. Gender, rest after LP, or volume of cerebrospinal fluid had no effect. Discussions: The overall risk of complications is relatively low. If risk factors shown in this study are taken into account, LPs can be safely performed in memory clinics.