How do you manage patients with post spinal tap headaches?   

There are two tracks of treatment to consider in these patients. The conservative path would be laying supine as much as possible or bed rest, aggressive hydration including intravenously, and caffeine consumption. This should be the first step and tried for 24 to 48 hours before considering procedu...

I agree with Dr. @Spears and would add that SIH is an important consideration, particularly in patients who do not report a positional component or whose tap was in the remote past. These patients may describe being headache-free on awakening but develops once they are up and around. Often these pat...

I have seen gray respond with hydration and caffeine.