Papilloedema is not always an adequate predictor of potential complications from lumbar puncture, and many clinicians are using computed tomography (CT) before lumbar puncture in an effort to identify more accurately the "at risk" patient. This paper identifies the following anatomical criteria defined by CT scanning that correlate with unequal pressures between intracranial compartments and pr...

Background. The association between cerebral venous thrombosis (CVT) and multiple sclerosis (MS) has already been reported in patients with clinically definite MS in relation to intravenous methylprednisolone (IVMP) or previously performed lumbar puncture (LP). Case Summery. We report a 29-year-old Indian female who presented with a clinically isolated spinal cord syndrome according to the revi...

We report the case of a 39-year-old woman with unilateral intracranial chronic subdural haematoma that occurred after epidural anesthesia for excision of a skin scar, complicated by postdural puncture headache. The patient had no history of trauma, headache, coagulation abnormalities, or neurological disorders. Most physicians encountering a case of headache after epidural or spinal anesthesia ...

there are many factors contributing to success of regional anesthesia. patients’ attitude toward spinal anesthesia is one of the most important of these factors. this is a descriptive study performed on 100 healthy parturient selected for elective cesarean section in alzahra obstetric hospital,tabriz, iran. the aim of this study was to evaluate patients’ attitude and their knowledge about spina...

A 5 year old boy developed an implantation dermoid tumour after a lumbar puncture in infancy. A survey of senior paediatricians has shown it to be common practice to use an unstiletted needle for lumbar puncture in small children. A stiletted needle is recommended for all such procedures.

BACKGROUND AND OBJECTIVES Unilateral spinal anesthesia may be advantageous, especially for outpatient procedures. Low anesthetic doses, pencil point or cutting point needles, slow injection rate and the lateral position have been reported as helping unilateral spinal anesthesia technique. This longitudinal study aimed at investigating the depth of unilateral spinal anesthesia with 5 mg of 0.5% ...

BACKGROUND Post-dural puncture headache (PDPH) is a relatively common complication of lumbar punctures for spinal anesthesia or neurologic diagnosis. For many years, a high number of drugs has been evaluated to treat PDPH, yet there is a minority to prevent this complication. The lateral decubitus position instead of sitting position during lumbar puncture has become an interesting approach bec...

Neurological deterioration sometimes follows removal of cerebro-spinal fluid by lumbar puncture below a spinal block caused by a tumour. Experience has shown that similar impaction of a spinal intradural tumour may occur following the draining of hydrocephalus. We have used the term "upward spinal coning " to describe this and report four cases in which impaction of an intradural metastasis occ...