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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Spine Tap Cause Sinus Pressure,headache And Lightheaded?

Hi thank you for helping first off... I had a spine tap a week ago and am having severe sinise pressure tonight behind my eyes is this normal, I have had a bad bad headache all week, light headed when standing or sitting to long, is this ever going to stop?
Wed, 16 Jul 2014
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Psychiatrist,  's  Response
HI THANKS FOR POSTING YOUR HEALTH QUERY.
I WOULD LIKE TO TELL YOU SPINAL TAPPING /CSF(CEREBROSPINAL FLUID) TAPPING FOR LABORATORY EXAMINATION CAN BE LEAD TO VERY COMMON COMPLICATIONS OF A PARADIGM OF SYMPTOMS CALLED "POST DURAL PUNCTURE HEADACHE" OR "POST SPINAL HEADACHE".THIS ARISES DUE TO LEAKAGE OF CEREBROSPINAL FLUID FROM A SMALL DURAL MEMBRANE TEAR, COVERING THE SPINAL CORD WHILE PASSING THE NEEDLE FOR TAPPING. IT CAN BE MINIMIZED WITH BED REST FOR 3 WEEKS ,USING SMALL GAUGE NEEDLE, WITH INTRAVENOUS FLUID REPLACEMENT,PAIN KILLERS.AVOID STANDING OR SITTING FOR LONG PERIODS.RESISTANT CASES CAN BE MANAGED WITH "EPIDURAL BLOOD PATCH OVER THE TEAR.ALSO CONSIDER "SINUS ANTHRAL WASH" THROUGH FESS(FUNCTIONAL ENDOSCOPIC SINUS SURGERY) FOR SINUS RELATED COMPLICATIONS.SUCH MANAGEMENT CAN PRODUCE GOOD RESULTS.I SUGGEST YOU FEEL REST ASSURED SUCH A TREATMENT PROTOCOL.CONSULT A NEUROSURGEON AND AN OTOLARNGOLOGIST FOR EXPERT HELP.
THANK YOU.
TAKE CARE.
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Can Spine Tap Cause Sinus Pressure,headache And Lightheaded?

HI THANKS FOR POSTING YOUR HEALTH QUERY. I WOULD LIKE TO TELL YOU SPINAL TAPPING /CSF(CEREBROSPINAL FLUID) TAPPING FOR LABORATORY EXAMINATION CAN BE LEAD TO VERY COMMON COMPLICATIONS OF A PARADIGM OF SYMPTOMS CALLED POST DURAL PUNCTURE HEADACHE OR POST SPINAL HEADACHE .THIS ARISES DUE TO LEAKAGE OF CEREBROSPINAL FLUID FROM A SMALL DURAL MEMBRANE TEAR, COVERING THE SPINAL CORD WHILE PASSING THE NEEDLE FOR TAPPING. IT CAN BE MINIMIZED WITH BED REST FOR 3 WEEKS ,USING SMALL GAUGE NEEDLE, WITH INTRAVENOUS FLUID REPLACEMENT,PAIN KILLERS.AVOID STANDING OR SITTING FOR LONG PERIODS.RESISTANT CASES CAN BE MANAGED WITH EPIDURAL BLOOD PATCH OVER THE TEAR.ALSO CONSIDER SINUS ANTHRAL WASH THROUGH FESS(FUNCTIONAL ENDOSCOPIC SINUS SURGERY) FOR SINUS RELATED COMPLICATIONS.SUCH MANAGEMENT CAN PRODUCE GOOD RESULTS.I SUGGEST YOU FEEL REST ASSURED SUCH A TREATMENT PROTOCOL.CONSULT A NEUROSURGEON AND AN OTOLARNGOLOGIST FOR EXPERT HELP. THANK YOU. TAKE CARE.