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Doctor insights on: Sedation For Lumbar Puncture In Adults

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What is a lumbar puncture?

What is a lumbar puncture?

Diagnostic test: A lumbar puncture is a test where a needle is inserted into the spinal canal to draw out a small amount of cerebral spinal fluid for diagnostic testing purposes, such as diagnosing meningitis. ...Read more

Dr. Dariush Saghafi
387 doctors shared insights

Lumbar Puncture (Definition)

To test for meningitis or multiple sclerosis or a variety of problems, a small needle is inserted into the lumbosacral cistern to obtain spinal fluid for testing ...Read more


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How is lumbar puncture performed?

Carefully :): Lp is typically performed in the office. You will lie on your side curled up into a tight ball. After sterilizing the area, local anesthetic is injected into the skin at the small of the back, and then a spinal needle is advanced between the vertebrae into the spinal canal. Once in the canal, the fluid pressure is measured and fluid is removed for analysis. Total time is typically 20 mins. ...Read more

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How risky is the lumbar puncture?

LP: Lumbar puncture these days is done for diagnostic as well as anesthetic purposes. The needles used now are pencil point and the anesthetic agents injected are preservative free. So in experienced hands, there is no danger. However, if done above the level of L2, it has a potential of damaging the spinal cord. ...Read more

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What do you advise if i had lumbar puncture?

What do you advise if i had lumbar puncture?

Lumbar puncture: The advice is mostly based on why the procedure was done. The key advice is to discuss with the physician why the procedure was done, were there any unusual results for findings and do you need any further treatment for the reason the puncture was done. ...Read more

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I would like to know what is lumbar puncture?

I would  like  to know  what  is lumbar  puncture?

Spinal tap: Needle inserted into lower back area into spinal canal to obtain spinal fluid for testing. Can evaluate possible infection, multiple sclerosis, various other diseases of brain and spinal cord. ...Read more

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What are the affects of getting a lumbar puncture?

Headache: It is common to experience a headache after an lp. Otherwise the effects are fairly minimal. The headache can be pretty bad, but they are very treatable. ...Read more

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What happens if a lumbar puncture is done too high?

May hit cord: Doing an LP too high up in the back risks hitting the spinal cord, which can damage the cord. It is best to do an LP below the level where the actual spinal cord ends since the needle is designed to slide by nerve roots. ...Read more

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What is the main reasons for needing a lumbar puncture?

Depends: See my recent answer. Ruling out infection, bleeding, ms, and to check pressure are the commonest reasons. ...Read more

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Can a lumbar puncture paralyze me?

Can a lumbar puncture paralyze me?

Rarely: I have seen this happen twice in the span of my medical career, both instances in which the performing physician was not aware of the patients' use of blood thinners. Hematomas formed and extended upward from the "safe" levels of lumbar puncture up to the spinal cord. ...Read more

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Would heat help after a lumbar puncture?

Take it easy: Take it easy, drink plenty of fluid and try to do some walking. Any discomfort should resolve in a day or two. Good luck. ...Read more

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Is a lumbar puncture needed to diagnose ms?

Not usually: These days, MRI films are typically sufficient but LP may be used if diagnosis is unclear ...Read more

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I got a spinal tap / lumbar puncture today?

If you have a: Specific question about the procedure or symptoms afterwards then please clarify and re-ask the question. ...Read more

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What is a spinal tap / lumbar puncture like?

Not bad: A small needle prick in the small of the back then some pressure and that is about it. ...Read more

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What are the side effects of a lumbar puncture?

Headache, bleeding: The most common side effect of a lumbar puncture is headache due to the drop in cerebrospinal fluid pressure. This normally resolves in a few days with fluids and rest, but sometimes requires a second procedure called a blood patch before it resolves. Lp can also cause bleeding and infection, although these are much more rare. ...Read more

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Should lumbar puncture be performed on my infant?

Should lumbar puncture be performed on my  infant?

It depends: A lumbar puncture (LP) or spinal tap is a method for obtaining a sample of cerebral spinal fluid (csf). CSF is the fluid that surrounds the brain and spinal cord. An LP is usually done a part of a 'septic workup', in order to see if an ill person has meningitis. If your infant does have meningitis, it is important to know what is causing the infection and how best to treat that infection. ...Read more

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How often is it safe for a lumbar puncture be done?

As often as needed: To diagnose or treat a patient illeness. ...Read more

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What will monoclonal bands in a lumbar puncture mean?

Monoclonal Bands: Oligoclonal bands are seen when a patient's blood or cerebrospinal fluid is analyzed. Each of the two to five oligoclonal bands represent proteins, although why exactly these bands are present, and which proteins these bands represent, has not yet been elucidated. Oligoclonal bands are present in 80-90% of patients and is an important indicator in the diagnosis of multiple sclerosis. ...Read more

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What tests besides lumbar puncture can be used to diagnose ms?

MRI: An MRI of brain with and without contrast can be very diagnostic, but often MRI of neck added in ambiguous cases. The lumbar puncture certainly can be confirmatory, especially with elevated oligoclonal bands, but often is not necessary if other studies are convincing. We very rarely use evoked potentials these days, but might also assist in some cases. ...Read more

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What tests besides lumbar puncture can be used to diagnose ms?

What tests besides lumbar puncture can be used to diagnose ms?

MRI: An MRI of brain with and without contrast can be very diagnostic, but often MRI of neck added in ambiguous cases. The lumbar puncture certainly can be confirmatory, especially with elevated oligoclonal bands, but often is not necessary if other studies are convincing. We very rarely use evoked potentials these days, but might also assist in some cases. ...Read more

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Which other tests besides lumbar puncture can be used to diagnose ms?

MRI : An MRI of brain with and without contrast can be very diagnostic, but often MRI of neck added in ambiguous cases. The lumbar puncture certainly can be confirmatory, especially with elevated oligoclonal bands, but often is not necessary if other studies are convincing. We very rarely use evoked potentials these days, but might also assist in some cases. ...Read more

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What kind of viruses and diseases can a lumbar puncture help determine or rule out?

Varies: A lumbar puncture is done to evaluate for diseases carried in the cerebro-spinal fluid. These can be viruses such as herpes, west nile, eee, etc. Bacteria can also be present such as strep pneumonia, h. Influenza, and others. This is usually done when patients have symptoms of meningitis or encephalitis.
Also, non infectious diagnosis such as multiple sclerosis and others. Go in good health. ...Read more

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How much time until hole from lumbar puncture heals itself after two blood patches?

How much time until hole from lumbar puncture heals itself after two blood patches?

Lumbar puncture: Blood patches are usually quite successful in treating a puncture leak. Usually the patch should work within a week or so, sometimes it can take two weeks. ...Read more

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I would like help from a headache sufferer and someone who's had a lumbar puncture?

I would like help from a headache sufferer and someone who's had a lumbar puncture?

See a neurologist: If you headaches started only after recent lp. Then it will be called post spinal tap headache. However if have had headaches for years or months then it is likely migraine. See a neurologist. ...Read more

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What are the main side effects of the lumbar puncture and how long will they last for?

What are the main side effects of the lumbar puncture and how long will they last for?

Headache: By far the most common side effect is a "post-lp headache." it can last for several days or even a week. The pain tends to get better when you're lying down, and caffeine sometimes helps as well. In severe cases, an epidural blood patch procedure is sometimes performed. ...Read more

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Would a lumbar puncture indicate and show signs if there was an aggressive autoimmune response 6 years ago?

Would a lumbar puncture indicate and show signs if there was an aggressive autoimmune response 6 years ago?

Not likely: A lumbar puncture is only going to show if you have a current active autoimmune process causing your current symptoms. ...Read more

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What can you put on your back after a lumbar puncture? Everytime i move im in pain an having the worst headache?

Spinal headache: You may have a spinal headache. Your physician team should be informed, treatment starts with bedrest hydration and sometimes a blood patch. If clear fluid is leaking through skin, you should seek medical attention immediately. ...Read more

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What are the specific benefits of having lumbar puncture under X-ray instead as opposed to the standard bedside way?

It depends...: Xray guidance usually isn't necessary for relatively slim persons with normal spines who are able to hold the proper position for 15-20 minutes. Xray guidance can be helpful otherwise, e.g. serious obesity or lower spine problems like arthritis or past injury or surgery. Discuss with the doctor or clinic where the LP will be done. ...Read more

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After spinal tap (lumbar puncture) done in january 2013, my back is still in a great amount of pain. What could this be?

Not the tap: It would be unusual for a spinal tap to cause lasting symptoms. Your pain may be related to the condition that warranted the spinal tap in the first place. ...Read more

Dr. Mark Ingerman
1 doctor shared a insight

Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more