When to do a lumbar puncture

When not to do a lumbar puncture.

When to do a lumbar puncture in a neonate.

Correspondence When to do a lumbar puncture in a neonate Sir, We enjoyed Dr Halliday's annotation on neonatal lumbar puncture but felt that his discussion of the role of lumbar puncture in suspected sepsis left an unfortunate question mark hanging over this procedure.' It is important we feel to distinguish between early onset and late onset sepsis. In early onset sepsis the usual route of infe...

How to perform a lumbar puncture.

The first reports of a lumbar puncture (LP) being undertaken are from the late 19th century [1]. Heinrich Irenaeus Quince (with whom the Lumbar Puncture is commonly associated with) reported to the tenth congress of Internal Medicine in April 1891¬¬ that he had performed in one case 3 lumbar punctures in a patient with suspected tuberculous meningitis who was comatose [1,2]. The procedures were...

Impact of postdural puncture headache after diagnostic lumbar puncture

No Abstract

How Do I Perform a Lumbar Puncture and Analyze the Results to Diagnose Bacterial Meningitis?

A previously healthy 70-year-old woman presents to the emergency department with a 3-day history of fever, confusion, and lethargy. She is unable to cooperate with a full physical examination, but she has neck stiffness upon neck flexion. Her score on the Glasgow Coma Scale is 13 (eye, 4; verbal, 4; motor, 5). The findings from a chest radiograph and urinalysis are normal. You seek consent from...