Factors associated with traumatic fluoroscopy-guided lumbar punctures
: A retrospective review.
This system was tested in a patient with confirmed diagnosis of human immunodeficiency virus-associated cryptococcal meningitis (HIV-CM) and severe intracranial hypertension, before and after therapeutic lumbar puncture
. This non-invasive measurement allows a real-time acquisition of ICP by the use of a sensor that acquires skull deformation data induced by the intracranial pressure waves (1).
Baker, MD, of Brigham and Women's Hospital, Boston, and colleagues retrospectively reviewed the records of 112 patients who had a routine CT before LP for suspected meningitis.2 Regardless of CT scan result, all patients received a lumbar puncture
. Four patients had mass lesions on CT scan, though none of these patients had an increased opening pressure.
is typically performed in the L4 and L5 interspace while the patient is in the lateral position.
An attempt for lumbar puncture
was defined as separate skin puncture with spinal needle for lumbar puncture
* Listening to the sadness and fear in my father's voice when he spoke of the lumbar punctures
she was having.
The survey asked whether trainees routinely used the following components of an aseptic technique3when performing lumbar puncture
Almost one-third of lumbar punctures
performed were abnormal according to the criteria in Table I.
Since then, her parents Rachel and Rob have seen her go through lumbar punctures
, brain scans and reams of tests.
Predicting difficult and traumatic lumbar punctures
. Am J Emerg Med.
Blood can be collected at any clinic or in-home visit and most patients will agree to the process, whereas not all facilities can conduct lumbar punctures
to obtain cerebrospinal fluid.
(6) False-positive results, however, are sometimes seen in cases with DIC, fibrinolysis, and trauma from repeated lumbar punctures
. Occasionally, a clinician may repeat the lumbar puncture
at the next higher vertebral interspace in an attempt to eliminate confounding data from a traumatic tap.