Objectives: 1. To evaluate the socio-economic impact of the addition of fluoroscopic guidance to the lumbar puncture procedure through our institutional series from 2010 to 2013. 2. To investigate the increased cost and socio-economic impact associated with fluoroscopic guidance, which at our institution is used after failure of blind procedure. 3. To describe the utility of standardized traini...

The syndrome of spontaneous intracranial hypotension is characterised by postural headache, low CSF pressure, and MRI findings of diVuse pachymeningeal gadolinium enhancement without a history of head or back trauma or lumbar puncture. We report on the MRI findings of a patient with spontaneous intracranial hypotension, before and after treatment. A 44 year old woman presented with severe subac...

Cerebrospinal fluid (CSF) pressure and composition are generally thought to be homogeneous within small limits throughout all CSF compartments. CSF sampled during lumbar puncture therefore should be representative for all CSF compartments. On the basis of clinical findings, histology and biochemical markers, we present for the first time strong evidence that the subarachnoid spaces (SAS) of the...

OBJECTIVE We evaluated the correlation between intracranial (ICP) and intraocular pressure (IOP). METHODS Of the 77 patients who underwent a lumbar puncture, 27 were excluded secondary to a history of glaucoma, using drugs effective on IOP, and abnormal funduscopic examination. ICP was measured by lumbar puncture. IOP was measured by two scales of Schiotz tonometer in both eyes, and the mean ...

We report a case of a 22-year-old female student nurse who presented to hospital with an acute neuro-ophthalmological syndrome characterized by papilledema, ataxia, ophthalmoplegia and headache after a single first time use of 150 mg medroxyprogesterone intramuscular injection. Clinical, laboratory, radiological and ophthalmological investigations were in keeping with the diagnosis of idiopathi...

Idiopathic intracranial hypertension (IIH) in pregnancy is often responsive to conservative management and usually carries a favorable prognosis. Pregnant patients may be managed with dietary control, corticosteroid therapy, diuretics, and occasionally serial lumbar puncture. We report an unusual case of permanent visual loss due to IIH in pregnancy, requiring aggressive CSF diversion and bilat...

Title: Lumbar Puncture as Possible Cause of Sudden Paradoxical Herniation in Patient with Previous Decompressive Craniectomy:Report of Two Cases Authors: Liang Shen ([email protected]) Sheng Qiu ([email protected]) Zhongzhou Su ([email protected]) Xudong Ma ([email protected]) Renfu Yan ([email protected]) Version: 3 Date: 12 Jun 2017 Author’s response to reviews: Comments: However, there ar...

It has been the practice at the Central VD Clinic, Colombo, to examine the cerebrospinal fluid (CSF) as a test of cure not less than 2 years after treatment for early syphilis. A total of 151 CSF examinations were performed between September, 1963, and August, 1964, in male patients who had been treated for primary or secondary syphilis. The examination was made within 1 hour of lumbar puncture...

Owing to all the difficulties involved in selecting patients with normal pressure hydrocephalus for shunt-operation, a cerebrospinal fluid-tap-test (CSF-TT) is introduced. Psychometric and motor capacities of the patients are measured before and after lumbar puncture and removal of 40-50 ml CSF. Patients fulfilling criteria for normal pressure hydrocephalus were compared to patients with dement...

THE formation of cranial subdural hematomas after lumbar puncture is a well-known complication of spinal anesthesia, although rare in young patients. Pathogenesis of this condition has been related to rupture of bridging veins joining the cerebral surface and the dura mater. The precipitating event in these cases is the continuous leakage of cerebrospinal fluid through the dural hole. More unus...