Standard vs atraumatic Whitacre needle for diagnostic lumbar puncture: a randomized trial

Neurology. 2006 Oct 24;67(8):1492-4. doi: 10.1212/01.wnl.0000240054.40274.8a.


In order to define the impact of needle type on post-lumbar puncture headache (PLPH), we performed a prospective, randomized trial comparing the incidence of PLPH in patients undergoing lumbar punctures (LPs) with traumatic vs atraumatic 22-gauge needles. Fifty-eight patients underwent 85 LPs. The incidence of PLPH was 36% in the traumatic vs 3% in the atraumatic group (p = 0.002).

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Equipment Design
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Needles* / adverse effects
  • Pain Measurement
  • Post-Dural Puncture Headache / epidemiology
  • Post-Dural Puncture Headache / etiology
  • Post-Dural Puncture Headache / physiopathology
  • Post-Dural Puncture Headache / prevention & control*