الفهرس 
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Abstract
Post lumbar puncture headache is the most common serious complication resulting from lumbar punctures. There are interrelated factors can magnified the incidence and severity of post lumbar puncture headache. Aim: This study aimed to assess factors contributing to headache and its associated symptoms for post-lumbar puncture patients. Design: A descriptive explorative design was utilized in the current study. Setting: This study conducted in general surgery, orthopedic, gynecology and urology departments at Beni-Suef University Hospital. Study subjects: Convenient sample of 80 patients included from the above-mentioned setting from both genders. Tools: (I) Lumbar Puncture Interview Questionnaire: It include three parts: factors related to patients, factors related to practitioner and lumbar puncture procedure. (II) Tension Headache Dairy: To assess patients for post lumbar puncture headache and its associated symptoms. Results: Revealed that more than half of studied subjects had post lumbar puncture headache and there was significant relation between post lumbar puncture headache and age, gender, educational level, past history of headache, needle diameter, and number of dural puncture trails. Conclusion: overall, the study showed that there were interrelated factors affecting on post lumbar puncture headache incidence that include non-modifiable factors related to patients’ characteristics as age, gender, past history of headache, pregnancy and past history of previous lumbar puncture headache. While, there were modifiable factors related to lumbar puncture procedure and practitioner experience that include needle diameter, number of trails to enter subarachnoid space, amount of cerebrospinal fluid lost during procedure. Recommendations: The study should be replicated on large sample size and in different hospitals setting in order to generalize the results and figure out more factors affecting the incidence of post lumbar puncture headache and its associated symptoms.
Keywords: Factors contributing, Headache associated symptoms, Lumbar puncture.