We report the case of a young patient with 36 weeks pregnancy, and an acute respiratory infection with severe bronchospasm, who developed an occipital headache and neck pain on the third day of inadvertent dural puncture during placement of combined epidural spinal anaesthesia for caesarian section. It was diagnosed as post-dural puncture headache until generalised tonic clonic seizures occurre...

a temperature of 103?F. He was examined and found to have Kernig's sign and all other clinical signs of cerebro-spinal fever. A lumbar puncture was done and about 30 c.cm. of turbid fluid, flowing at slightly increased pressure, were drawn off. This was examined bacteriologically and showed meningococci in abundance. Next day another lumbar puncture was done, 30 c.cm. of fluid drawn off and 20 ...

Lumbar puncture is an essential procedure in the armamentarium of clinicians, and its complications may result if carried out without a proper understanding of the anatomical 2 implications . The conus medullaris or "medullary cone” is the terminal end of the spinal cord and then the spinal nerves continue as dangling nerve roots called cauda equina. There are changes in 3 position of conus med...

BACKGROUND Post-dural puncture headache (PDPH) due to excessive cerebrospinal fluid (CSF) leakage is a well-known complication of lumbar puncture. Although various factors, especially the type of spinal needle, have been demonstrated to be associated with PDPH, the clinical implications of CSF leakage detected on magnetic resonance myelography (MRM) images remain unclear. The objective of this ...

OBJECTIVES The objective was to determine if use of ultrasound (US) by emergency physicians (EPs) to localize spinal landmarks improves the performance of lumbar puncture (LP). METHODS This was a prospective, randomized, controlled study conducted in a county teaching hospital. Subjects, adults 18 years of age or older who were to receive LPs for routine clinical care in the emergency departm...