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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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