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May 11, 1918


Author Affiliations

Associate Physician, Neurological Institute NEW YORK

JAMA. 1918;70(19):1350-1353. doi:10.1001/jama.1918.02600190006002

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Lumbar puncture headache differs from all others in that, being present when the patient is sitting up, it completely disappears when he lies down. It is throbbing and severe, and felt mostly in the frontal and occipital regions. No drugs give sufficient relief to allow its victim to walk about and attend to his affairs, or even to sit up. The pain comes on quickly when he sits up, being fully present in twenty seconds. It takes about the same length of time to subside when he lies down. This situation usually persists for about seven days with full severity, and then ends somewhat abruptly in the course of twenty-four hours.

The only effective treatment is a week's stay in bed with the head low. While in this position the patient is quite comfortable, and there are no clinical signs of trouble present.

Regarding causative or influencing factors of

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