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Lumbar Punctures

Lumbar Punctures

Indications for Lumbar Puncture

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Overview

CSF collection for lab analysis
CSF pressure measurement
Intrathecal injection of anaesthesia, chemotherapy or other medications
Injection of dye for myelography

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Evans RW, Armon C, Frohman EM, Goodin DS. Assessment: Prevention of post-lumbar puncture headaches Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology. 2000 Oct 10;55(7):909-14. Spriggs DA, Burn DJ, French J, Cartlidge NE, Bates D. Is bed rest useful after diagnostic lumbar puncture?. Postgraduate medical journal. 1992 Jul 1;68(801):581-3. Straus SE, Thorpe KE, Holroyd-Leduc J. How do I perform a lumbar puncture and analyze the results to diagnose bacterial meningitis?. Jama. 2006 Oct 25;296(16):2012-22. Strupp M, Schueler O, Straube A, Von StuckradBarre S, Brandt T. Atraumatic Sprotte needle reduces the incidence of post-lumbar puncture headaches. Neurology. 2001 Dec 26;57(12):2310-2. Turnbull DK, Shepherd DB. Post?dural puncture headache: pathogenesis, prevention and treatment. British journal of anaesthesia. 2003 Nov 1;91(5):718-29.