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Side effects after lumbar puncture Patch#
Side effects after lumbar puncture trial#

JR Soc Med 75:404–407Īrmitage P (1971) Statistical methods in medical research.

Side effects after lumbar puncture trial#

Handler CE, Smith FR, Perkin GD, Clifford Rose F (1982) Posture and lumbar puncture headache: a controlled trial in 50 patients.

Hilton-Jones D, Harrad RA, Gill MW, Warlow CP (1982) Failure of postural manoeuvres to prevent lumbar puncture headache. Headache 12:73–78Ĭarbaat PAT, v Crevel H (1981) Lumbar puncture headache: controlled study on the preventive study of 24 hours bedrest. Tourtelotte WW, Henderson WG, Tucker RP, Gilland O, Walker JE, Kokman E (1972) A randomized double-blind clinical trial comparing the 22 vs 26 G needle in the production of the post-lumbar puncture syndrome in normal individuals.

Tourtelotte WW, Haerer AF, Heller GL, Somers JE (1964) Post-lumbar puncture headaches. Holder JC, Binet EF, Kido DK, Belanger G, Sands MS (1984) Iohexol lumbar myelography: clinical study. Br J Radiol 56: 539–542Įldevik OP, Nakstad P, Kendall BE, Hindmarsh T (1983) Iohexol in lumbar myelography: preliminary results from an open noncomparative multicenter clinical study. Kendall B, Schneidau A, Stevens J, Harrison M (1983) Clinical trial of iohexol for lumbar myelography. Laasonen EM (1985) Iohexol and metrizamide in lumbar myelography: comparision of side effects. Hindmarsh T, Ekholm SE, Kido D, Sahler R, Sands M (1984) Lumbar myelography with iohexol and metrizamide: a double-blind clinical trial. Kieffer SA, Binet EF, Davis DO, Gabrielsen TO, Kido DK, Latchaw RE, Turski PA, Shaw DD (1984) Lumbar myelography with iohexol and metrizamide: A comparative multicenter prospective study. J Intensive Care Med 22, 194-207 (2007).Sortland O, Nestvold K, Kloster R, Aandahl MH (1984) Comparision of iohexol with metrizamide in myelography. Lumbar puncture and brain herniation in acute bacterial meningitis: a review. Cochrane Database Syst Rev, CD001791 (2010). Epidural blood patching for preventing and treating post-dural puncture headache. Posture and fluids for preventing post-dural puncture headache. Arevalo-Rodriguez, I., Ciapponi, A., Munoz, L., Roque i Figuls, M.Incidence of post-lumbar puncture syndrome reduced by reinserting the stylet: a randomized prospective study of 600 patients. Post-dural (post-lumbar) puncture headache: risk factors and clinical features. Post-dural puncture related complications after diagnostic lumbar puncture, myelography and spinal anaesthesia. Cerebrospinal fluid as a diagnostic body fluid.

Ultrasound imaging for lumbar punctures and epidural catheterisations: systematic review and meta-analysis. Next Page : Kit and Supplies Previous Page: Indications and Contraindications Adhere to sterile technique and avoid passing the needle through areas cellulitis or known epidural abscess.50% of patients with herniation decompensate immediately during the LP, but some herniations can be delayed up to 12 hours.Closely monitor for herniation if opening pressure > 25 cm H2O.Look for compression and loss of ventricles and cisterns on CT.CT prior to LP if the patient meets the IDSA criteria on previous page.Do not perform LP if patient is receiving therapeutic anticoagulation.Requires emergent MRI and neurosurgery consult.Suspect if radicular pain fails to resolve quickly or if other neurologic symptoms occur.Pain should resolve quickly with needle re-direction.Immediately withdraw the needle, re-identify landmarks, and re-insert in the proper midline.Occurs in 10% of patients during the procedure when the needle is too lateral and encounters a nerve route.Localized pain over the needle track occurs in up to 40%.

Side effects after lumbar puncture Patch#

If symptoms are severe and persistent, an epidural blood patch is very effective at stopping the CSF leak and resolving the headache 7.

Headaches are NOT prevented by laying flat after the procedure 6.

Keeping the needle bevel in the sagittal plane parallel to the spinal cord to spread the dural fibers instead of cutting them

When finished collecting CSF, reinsert the stylet before removing the needle 5.

Horizontal needle insertion parallel to the spinal cord in the sagittal plane 4.

Rarely associated with nausea, vomiting, dizziness, tinnitus and visual changes.

Can be severe and can last up to 2 weeks.

Exacerbated by being upright and improved while supine.

Frontal or occipital headache within 6 to 48 hours of the procedure.

To figure out if there is active inflammation in the CSF following a traumatic tap, subtract 1 WBC for every 700 RBC in the CSF 2.

A clue to a traumatic tap is that the RBC count falls from tube 1 to tube 4.

Blood contamination in the CSF from traumatic taps can be reduced with ultrasound guidance 1.