P.040 Redefining true leukocytosis in the traumatic lumbar puncture

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Interpreting red blood cells in lumbar puncture: distinguishing true subarachnoid hemorrhage from traumatic tap.

OBJECTIVES The study purpose was to determine the optimal use of lumbar puncture (LP) red blood cell (RBC) counts to identify subarachnoid hemorrhage (SAH) when some blood remains in the final tube. METHODS A case series was performed at a tertiary emergency department (ED). Records of 4,496 consecutive adult patients billed for LPs between 2001 and 2009 were reviewed. Inclusion criteria were...

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Lumbar Puncture in Neonates with Sepsis

Introduction: Infections are one of the main causes of death during childhood. Epidemiologic studies in Iran showed that the incidence of neonatal sepsis was 1.8% in 1995. Moreover, the incidence of neonatal meningitis is 0.2 to 0.4 in per 1,000 live births. The aim of this study was to determine the necessity of lumbar puncture (LP) in early neonatal sepsis. Methods: In a retrospective study, ...

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IS LUMBAR PUNCTURE JUSTIFIABLE IN THE FIRST FEBRILE SEIZURE?

To ascertain whether LP was justifiable in cases of first simple febrile seizure, the records of128 such patients were critically reviewed in this study. It was evident that in 90% of those who received cerebrospinal fluid examination as a routine work up, lumbar puncture could have been avoided if the definition of simple febrile seizure was adhered to and the history and clinical finding...

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Differentiation of early subarachnoid hemorrhage from traumatic lumbar puncture.

The problem of early differentiation of "traumatic tap" from subarachnoid hemorrhage (SAH) was studied in the rabbit by determining the changes in percentage of hemolysis and in lactate concentrations in CSF within the first twenty-four hours following induced SAH. The 0.3 to 7% hemolysis which occurred was relatively independent both of the time following SAH and of the number of red blood cel...

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Lumbar Puncture in Neonates with Sepsis

Introduction:Infections are one of the main causes of death during childhood. According to epidemiological studies in Iran, the incidence of neonatal sepsis was 1.8% in year 1995. Moreover, the incidence of neonatal meningitis was 0.2 to 0.4 in 1000 live births. The aim of this study was to determine the necessity of lumbar puncture (LP) for early neonatal sepsis.           Methods:In a retros...

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

سال: 2016

ISSN: 0317-1671,2057-0155

DOI: 10.1017/cjn.2016.144