What symptomatic management do you recommend in patients with post LP headaches?

In my clinical experience, the symptomatic/medical management of post lumbar puncture (LP) headache is challenging and of limited utility. In contrast, for the vast majority of cases, a large volume autologous epidural lumbar patch ("blood patch") is highly effective (and much appreciated by the patient who is often in considerable discomfort and distress). Furthermore, the possibility of severe complications (subdural hematoma, seizures, etc.) from a CSF leak should also encourage the clinician to implement definitive treatment (blood patch) without significant delay. Further thoughts considering the subject are as follows:

RISK FACTORS/INCIDENCE:

• Women > men
• Low body mass index (BMI)
• 30-50 years of age
• Pregnancy
• Previous post LP headache
• N...