A recent inquiry of whether a lumbar puncture can cause meningeal enhancement led us to the paper, “Frequency of Unexplained Meningeal Enhancement in the Brain After Lumbar Puncture,” by Mittl and Yousem (1). The conclusion that intracranial dural-arachnoidal enhancement after lumbar puncture is uncommon is not supported by the data that are presented. In their prospective study, they claim the...

Lumbar puncture was performed in 195 children and the depth of needle was recorded. Our results show that the depth of lumbar puncture necessary to obtain uncontaminated cerebrospinal fluid correlates best with the child's weight. The simple formula: mean depth of insertion (cm) = 1.3 + 0.07 x body weight (kg), can be used to estimate the depth of lumbar puncture of children older than 3 months...

Feb 3, 2016. Quincke performed the first lumbar puncture (LP) in 1891 to relieve of bleeding with thienopyridine derivatives (clopidogrel, ticlopidine) it may . Lumbar puncture (LP) is the most used technique for obtaining cerebrospinal. . clopidogrel associated bleeding risk in patients submitted to spinal anesthesia . Aug 30, 2017. Plavix (Clopidogrel), Prasugrel. (Effient), Ticagrelor (Brili...

Palsies of cranial nerves are well-known complications after lumbar puncture. Sixth nerve palsies are the most common. They normally occur 4 to 14 days after the lumbar puncture and spontaneously recover in a few weeks or months. The occurrence of a fourth nerve palsy following lumbar puncture however is extremely rare. We report on a patient who developed a combined contralateral fourth and si...

A randomized study of 110 patients undergoing their first diagnostic lumbar puncture was performed to compare the effect of immediate mobilization with 4 hours bed rest on the incidence of post lumbar puncture headache. There was no difference between the mobile (n = 54) and bed rest (n = 56) groups in the incidence of post lumbar puncture headache (32% versus 31%, respectively). We conclude th...

Pediatricians should acquire multiple skills during their professional training, including procedural skills. Skill acquisition requires knowledge on theoretical bases, direct observation and, lastly, supervised repetitive practice. Training using simulators allows to learn procedures in a controlled setting, ensuring patients' safety, integrating this as a learning stage prior to the actual co...

Background: Lumbar Puncture test is one of the most stressful diagnostic procedures in pediatric ward that its prescription put mothers under extreme pressure. There are limited interventions in this regard. Aim: determining the impact of supportive educational program on the anxiety of mothers whose children are undergoing lumbar puncture (LP). Method: the present study is a randomized control...

In some patients with lumbar spinal stenosis, opacification of the subarachnoid space beyond the stenosis is difficult to achieve during myelography. A second lumbar puncture caudal to the obstruction or computed tomography is often required to complete the examination. We encountered this difficulty in seven patients with this condition, and when the patients assumed a sitting position during ...

BACKGROUND AND PURPOSE In patients with suspected subarachnoid hemorrhage (SAH) and negative CT findings, the iatrogenic introduction of RBCs into the CSF during lumbar puncture may lead to a misdiagnosis. We tested the hypothesis that the risk of traumatic lumbar puncture is lower with the fluoroscopy-guided technique than with the standard bedside technique. METHODS Data were collected retr...