Metrizamide is useful for evaluating both posterior fossa and the cervical spinal canal [1, 2]. Because the contrast material is diluted by spinal fluid enroute from the lumbar region to the cervical spinal canal, the C1-C2 puncture technique has been advocated as the most suitable approach for instillation of contrast material [3]. The procedure is safe and without great technical difficulties...

Lumbar puncture is an essential tool for excluding subarachnoid haemorrhage. In August 2012, the laboratory at which cerebrospinal fluid (CSF) is analysed for xanthochromia in Lanarkshire was centralised at Hairmyres (East Kilbride, UK). Prior to this, each of the three hospitals analysed their own specimens. We aim to assess whether or not the change in xanthochromia processing has resulted in...

Bacterial meningitis in infants and children is a serious clinical entity with signs symptoms that commonly do not allow distinguishing the diagnosis causative agents. The only method to determine if cause of these lumbar puncture. Lumbar puncture gold standard for should be done all suspected cases unless contraindicated. Objectives: purpose this study identify importance microbiological cereb...

Dear editors, In his recent paper published in this journal, Matas addresses one important and well-studied aspect of postdural puncture headache prevention, i.e., the use of atraumatic spinal needles. On the other hand, when focusing on standard post-lumbar puncture recommendations, particularly 24 hours bed rest and controlled fluid ingestion, the author refers to four papers in which not onl...

Background: Postdural puncture headache (PDPH) is an expected complication after lumbar (LP). Spinal anaesthesia (SA) given to a patient in lateral decubitus or the sitting position. Our aim compare incidence of PDPH between and position among patients scheduled for LSCS. Methods: This kind comparative study done on 200 pregnant women elective lower segment caesarean section at our tertiary car...

BACKGROUND The detection of Epstein-Barr virus (EBV)-DNA in cerebrospinal fluid (CSF) by means of the polymerase chain reaction (PCR) has been revealed, in retrospective studies, to be a good marker of primary central nervous system lymphoma (PCNSL) related to acquired immunodeficiency syndrome (AIDS); however, the technique's usefulness in the management of AIDS patients with focal brain lesio...

BACKGROUND AND OBJECTIVES This study aimed at validating a scale to quantify the intensity of paravertebral muscle contraction during lumbar punctures, to be used in further studies on the effects of local anesthetic infiltration. METHODS This study involved 31 physicians, from two different Anesthesiology training centers located in two Brazilian cities, 12 of which were from institution 1 a...