A 29-year-old woman presented with dilated epidural veins and incapacitating headache after undergoing a lumbar puncture. Two months later, the results of follow-up MR imaging were normal. These findings suggest that temporary dilation of the epidural vein may occur in association with post-lumbar puncture intracranial hypotension syndrome. In these cases, it seems useful to confirm whether the...

Medical notes of 123 patients with subarachnoid haemorrhage were examined. No patient deteriorated at the time of lumbar puncture. All but 2 patients with associated intracerebral haematomas had markedly impaired consciousness or focal signs. Two of 30 patients with meningitis were initially diagnosed as subarachnoid haemorrhage, and one died without lumbar puncture. If consciousness is not mar...

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...

The place of computed tomography and lumbar puncture in suspected bacterial meningitis EDITOR,-We should like to respond to the recently published annotation on the place of computed tomography and lumbar puncture in suspected bacterial meningitis.' The table of contraindications to lumbar puncture in the child with suspected acute bacterial meningitis is welcome and we would agree that lumbar ...

Although decompressive craniectomy is an effective treatment for various situations of increased intracranial pressure, it may be accompanied by several complications. Paradoxical herniation is known as a rare complication of lumbar puncture in patients with decompressive craniectomy. A 38-year-old man underwent decompressive craniectomy for severe brain swelling. He remained neurologically sta...

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Post-lumbar puncture headache is the most common complication of lumbar puncture. This condition is thought to be the result of persistent cerebrospinal fluid leakage at the puncture site, leading to low cerebrospinal fluid pressure and traction on the meninges and intracranial veins. Associated symptoms may include nausea, vomiting, auditory and vestibular symptoms. Meningeal irritation signs ...

The spatial distribution and clinical correlation of cerebrospinal fluid leakage after lumbar puncture have not been determined. Adult in-patients receiving diagnostic lumbar punctures were recruited prospectively. Whole-spine heavily T2-weighted magnetic resonance myelography was carried out to characterize post-lumbar puncture spinal cerebrospinal fluid leakages. Maximum rostral migration was...

Post-lumbar puncture headaches are recognized as being a hazard in the diagnosis and management of patients suffering from syphilis. Much work has been done in the past, and is still being done, to reduce their incidence. There are certain factors which have a definite influence in reducing the number of headaches after lumbar puncture, the most important being the skill of the operator. Allen ...