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  The spinal fluid, which surrounds and protects your nervous system, is 
generally at a specific pressure. If this pressure goes up or down too 
suddenly, it may cause a headache.
In this case, a test known as the lumbar 
puncture or a spinal tap is required. Done under local anesthesia, the 
procedure requires the doctor to remove a bit of the spinal fluid from 
the spinal column using a long, thin needle. 
 
  The procedure takes about 
30 minutes but the patient must lie flat for several hours afterwards to 
prevent a headache. This is because if the person gets up too soon, the 
spinal fluid would not have had enough time to regain the adequate 
pressure.
 
Also, if the spinal fluid continues 
to leak after a lumbar puncture it may result in a headache. 
 
A 
myelogram, used to detect a tumor in the spinal cord also utilizes a 
lumbar puncture.
 
 
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