Lumbar Punctures
 

Cerebral Herniation Post LP

 
 
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Overview

    • Prevention

    • Do not perform an LP on a patient with raised intracranial pressure, as this can result in the severe complication of cerebral herniation.
  • Perform a CT scan prior to performing an LP if concerns for raised ICP, e.g. decreased level of consciousness, papilloedema, focal neurological findings or recent seizures.
  • Suspected raised intracranial pressure is an emergency that should be treated immediately.
 
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