Examination of the cerebrospinal fluid is an essential step in the diagnosis of late syphilis and is also necessary before any treated case of primary or secondary syphilis can be discharged as cured. The problem of lumbar puncture headache is therefore one of importance in all venereal disease clinics and the adoption of any method of reducing its incidence must be considered. Various procedur...

The CT and cerebrospinal fluid (CSF) findings of 100 patients with ruptured intracranial aneurysms were reviewed. Forty six percent of the 68 patients who had a lumbar puncture had blood stained CSF but with no xanthochromia. There was no blood visible on the CT scan in 20 patients: seven of these 20 had blood in their CSF, but no xanthochromia. It is concluded that it is blood stained CSF that...

The aetiology of headache after lumbar puncture is related to the hole left in the dura after the needle has been withdrawn, which allows the cerebrospinal fluid to leak out of the subarachnoid space. The headache can persist for prolonged periods and predispose to subdural haematomas, which are associated with a high mortality. Tourtellotte showed that this headache could be significantly redu...

A remote haptic collaboration system for lumbar puncture learning and training has been proposed. The study built a physical model for the simulation of interaction force between the needle and different tissues and developed a new protocol for real-time force feedback data transmission. Based on the processing delay and preprocessing interpolation, the negative effects on remote haptic percept...

This article discusses a case of Escherichia coli (E. coli) meningitis resulting in altered mental status patient with multiple pre-existing comorbidities. The highlights the underestimated risk community-acquired gram-negative adults, which can have high mortality rate, particularly elderly patients sepsis and urinary tract infections. Diagnosis E. was confirmed by analyzing cerebrospinal flui...

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 ...

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...

Diagnostic lumbar puncture (LP) is essential to the diagnosis of central nervous system infections and subarachnoid haemorrhage. Life or limb-threatening adverse events due to the procedure are rare, but less severe complications may be common. Clinical practice in diagnostic LP is often not evidenced based. The aim of the study was to use best available published evidence to address questions ...

OBJECTIVE To compare the ease of use of atraumatic needles with standard needles for diagnostic lumbar puncture and the incidence of headache after their use. DESIGN Double blind, randomised controlled trial. SETTING Investigation ward of a neurology unit in a university hospital. PARTICIPANTS 116 patients requiring elective diagnostic lumbar puncture. INTERVENTIONS Standardised protoco...