Bacterial meningitis in infants and children is a serious clinical entity with signs symptoms that commonly do not allow distinguishing the diagnosis causative agents. The only method to determine if cause of these lumbar puncture. Lumbar puncture gold standard for should be done all suspected cases unless contraindicated. Objectives: purpose this study identify importance microbiological cereb...

Dear editors, In his recent paper published in this journal, Matas addresses one important and well-studied aspect of postdural puncture headache prevention, i.e., the use of atraumatic spinal needles. On the other hand, when focusing on standard post-lumbar puncture recommendations, particularly 24 hours bed rest and controlled fluid ingestion, the author refers to four papers in which not onl...

Pediatricians should acquire multiple skills during their professional training, including procedural skills. Skill acquisition requires knowledge on theoretical bases, direct observation and, lastly, supervised repetitive practice. Training using simulators allows to learn procedures in a controlled setting, ensuring patients' safety, integrating this as a learning stage prior to the actual co...

BACKGROUND The detection of Epstein-Barr virus (EBV)-DNA in cerebrospinal fluid (CSF) by means of the polymerase chain reaction (PCR) has been revealed, in retrospective studies, to be a good marker of primary central nervous system lymphoma (PCNSL) related to acquired immunodeficiency syndrome (AIDS); however, the technique's usefulness in the management of AIDS patients with focal brain lesio...

BACKGROUND AND OBJECTIVES This study aimed at validating a scale to quantify the intensity of paravertebral muscle contraction during lumbar punctures, to be used in further studies on the effects of local anesthetic infiltration. METHODS This study involved 31 physicians, from two different Anesthesiology training centers located in two Brazilian cities, 12 of which were from institution 1 a...

Background Cerebrospinal fluid (CSF) drainage via ventricular puncture is an established therapy of elevated intracranial pressure (ICP). In contrast, lumbar CSF removal is believed to be contraindicated with intracranial hypertension. Methods We investigated the safety and efficacy of lumbar CSF drainage to decrease refractory elevated ICP in a small cohort of patients with traumatic brain i...

Neural precursor cells (NPCs) are promising grafts for treatment of traumatic CNS injury and neurodegenerative disorders because of their potential to differentiate into neurons and glial cells. When designing clinical protocols for NPC transplantation, it is important to develop alternatives to direct parenchymal injection, particularly at the injury site. We reasoned that since it is minimall...

cutaneous sphincterotomy is the treatment of choice for patients with chronic anal fissure. Both procedures are easily and safely performed in the outpatient department under local anaesthesia, thereby avoiding the costs and disruption of admission to hospital. SHORT REPORTS Current practice of diagnostic lumbar puncture About 30%1 of patients have a headache after lumbar puncture,' and many st...

Advances in biomedical technology have increased the success rate of medical procedures due to improvements safety and efficacy. During assessment patients with acute neurological disorder who require a lumbar puncture, some conditions may hinder its performance, such as infection at puncture site or bone abnormalities that cause spinal cord injury. Bedside ultrasound is good alternative assist...