COMMENTARY: Review: Success of lumbar puncture is enhanced by reinserting the stylet before removing the needle

Haydel, Micelle J.
March 2007
ACP Journal Club;Mar/Apr2007, Vol. 146 Issue 2, p42
Academic Journal
The article presents the author's comments about a study which states that the success of lumbar puncture (LP) is enhanced by reinserting the stylet before removing the needle. Post-LP headache is the most common complication of LP and is theoretically caused by a reduction in cerebrospinal fluid (CSF) volume from a persistent leak through the LP puncture site. Although few studies addressed its accuracy, the CSF analysis was routinely used to identify patients with bacterial meningitis.


Related Articles

  • Headache and Meningismus Following Lumbar Puncture. Bektaş, Fırat; Söyüncü, Secgin // Journal of Academic Emergency Medicine Case Reports / Akademik A;2012, Vol. 3 Issue 3, p86 

    Post-lumbar puncture headache is the most common complication of lumbar puncture. This condition is thought to be the result of persistent cerebrospinal fluid leakage at the puncture site, leading to low cerebrospinal fluid pressure and traction on the meninges and intracranial veins. Associated...

  • Rezidivierende Kopfschmerz-episoden. Preissler, C.; Gössi, U.; Eichhorn, P. // Praxis (16618157);3/16/2011, Vol. 100 Issue 6, p367 

    No abstract available.

  • Ketamine Increases Opening Cerebrospinal Pressure in Children Undergoing Lumbar Puncture. Yehuda, Yoram Ben; Watemberg, Nathan // Journal of Child Neurology;Jun2006, Vol. 21 Issue 6, p441 

    Intravenous ketamine, often administered concomitantly with midazolam, is one of the most commonly used drugs for procedural sedation in children. Although it is considered safe for use in children, ketamine can increase intracranial pressure. Hence, this study was carried out to determine...

  • Calculating Lumbar Puncture Depth in Children. Bilic, Ervina; Bilic, Ernest; Dadic, Martin; Boban, Marina // Collegium Antropologicum;Dec2003, Vol. 27 Issue 2, p623 

    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...

  • Headache and Backache After Lumbar Puncture. Wellbery, Caroline // American Family Physician;3/1/2005, Vol. 71 Issue 5, p1008 

    Discusses research being done on the presence of headache and backache after lumbar puncture in children and adolescents. Reference to a study by F. Ebinger et al, published in a June 2004 issue of the "Pediatrics"; Ages of children in which headache and backache are common; Association of...

  • How Do I Perform a Lumbar Puncture and Analyze the Results to Diagnose Bacterial Meningitis? Straus, Sharon E.; Thorpe, Kevin E.; Holroyd-Ledue, Jayna // JAMA: Journal of the American Medical Association;10/25/2006, Vol. 296 Issue 16, p2012 

    The article presents a clinical review examining diagnostic lumbar puncture (LP) techniques that may lower the risk of negative events and the test accuracy of cerebrospinal fluid analysis in patients with possible bacterial meningitis. For the systematic review the authors searched the Cochrane...

  • Patient Position During Lumbar Puncture Has No Meaningful Effect on Cerebrospinal Fluid Opening Pressure in Children. Avery, Robert A.; Mistry, Rakesh D.; Shah, Samir S.; Boswinkel, Jan; Huh, Jimmy W.; Ruppe, Michael D.; Borasino, Santiago; Licht, Daniel J.; Seiden, Jeffrey A.; Liu, Grant T. // Journal of Child Neurology;May2010, Vol. 25 Issue 5, p616 

    The recommendation to measure cerebrospinal fluid opening pressure in the extended, rather than the flexed lateral recumbent position to avoid false elevation of the opening pressure has not been formally evaluated in children. This single-center prospective cohort study includes 53 children who...

  • Which clinical parameters predict a CSF diagnosis of meningitis in a population with high HIV prevalence? Loughborough, W.; Abouyannis, M.; Jones, L.; Garach, S. // Southern African Journal of HIV Medicine;Jun2014, Vol. 15 Issue 2, p50 

    Background. The HIV epidemic has changed the aetiology of meningitis in sub-Saharan Africa, and frontline clinicians are faced with a variety of meningitic presentations. Doctors working in resource-limited settings have the challenge of appropriately selecting patients for lumbar puncture (LP),...

  • Evaluation of the Effects of Resting in Appearance of Post Lumbar Puncture Headache. Afshinmajd, Siamak; Davati, Ali; Ahmadvand, Afshin; Modara, Farhad; Moghaddamnia, Masoud; Jaberian, Moslem // Acta Medica Iranica;2014, Vol. 52 Issue 1, p43 

    Lumbar puncture (LP) is a procedure for obtaining spinal fluid from spinal meningeal spaces this can be done as a diagnostic or therapeutic procedure which can result in to a typical positional headache named as post lumbar puncture headache. This can cause a lot of discomforts for patients and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics