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Doctor insights on: What Happens If A Lumbar Puncture Is Done Too High

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What happens if a lumbar puncture is done too high?

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

Dr. Dariush Saghafi
388 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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Should a lumbar puncture be done in a fused area of the back?

More difficult: The fused area sometimes does not have as clear an anatomy. ..... It will be harder to get the needle where it needs to go. If there is quite a lot of bone overlying the area, I will not be able to get him the pca. ...Read more

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What do you recommend if I had a lumbar puncture done monday night, is this normal?

What do you recommend if I had a lumbar puncture done monday night, is this normal?

Lumbar puncture: I am not sure what recommendation that you are asking. After a lumbar puncture are you having pain or are you waiting for the results? Please rephrase the question. ...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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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

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Can a lumbar puncture be the cause of lumbosacral plexopathy if it was not done properly?

Usually inflammation: I have had a number of individuals develop lumbosacral plexopathy symptoms throughout the years, I have put them all on a course of steroids and they all improved. I don't think it's traumatic, I think it's inflammatory, perhaps due to some blood in the region irritating the nerve trunk, roots and plexi. ...Read more

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Had lumbar puncture done yester now having some chest pain is this related or should I be concerned?

Had lumbar puncture done yester now having some chest pain is this related or should I be concerned?

Perhaps: Chest pain is not a common complaint after a myelogram unless you have chest wall soreness from being on the fluoroscopy table. If it persists or worsens, it would be wise to speak to your dr. Good luck. ...Read more

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Exactly where in the vertebral column is a lumbar puncture generally done?

Exactly where in the vertebral column is a lumbar puncture generally done?

In the canal: A lumbar puncture is typically used to get cerebrospinal fluid from the spinal canal. It includes a needle inserted in the back between the spinous processes and lamina of the spine and then through the dura - which is the blood brain barrier around the nerves. Generally, the puncture is performed around the l4-5 levels. ...Read more

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Can they take out cfs from a VP shunts valve and measure the pressure to see how high it is instead of needing a lumbar puncture?

Tap: The safest and best route of having CSF removed in anyone, with/without shunt, is via lumbar puncture/spinal tap. An alternative route is a cervical tap, which is higher risk and more painful in general. In the right hands, an LP is minimally painful. I sometimes recommend a relaxing medication prior to having one & request the performing provider use sufficient numbing medication. ...Read more

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Does lumbar puncture go into muscle and/or near discs? One year later and still back pain that did not have before. Wonder if procedure was done right

Does lumbar puncture go into muscle and/or near discs? One year later and still back pain that did not have before. Wonder if procedure was done right

Unusual: The pain you are experiencing is not usually associated with a lumbar puncture. It is usually limited to a couple days to a week or so. A routine lumbar puncture should not damage muscle or a disc as the needle only penetrates the midline lumbar spine deep enough to obtain a small sample of the fluid. I suggest seeing your doctor, he or she can help pinpoint the cause of your pain. ...Read more

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I am getting a lumbar puncture done tomorrow, what can I expect? And why is a radiologist doing it instead of my neurologist?

Don't worry: A lumbar puncture is a common diagnostic test. In your case, it appears that the radiologist has been consulted to perform the study using fluoroscopy (x-ray guidance) which should allow it to go smoothly by visualizing the anatomy and guiding the placement of the needle. Check out spine-health. Com. ...Read more

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Today I had a lumbar puncture done but my back is absolutely hurting so much its incredible. The spinal fluid was clear by the way and the pressure was 19 but he said that was normal because of slight stress. But my back is hurting like crazy sinds the pu

Today I had a lumbar puncture done but my back is absolutely hurting so much its incredible. The spinal fluid was clear by the way and the pressure was 19 but he said that was normal because of slight stress. But my back is hurting like crazy sinds the pu

Sorry to hear that: Sometimes LP's can result in lower back pain. Your doctor should've prescribed something for your pain in case it developed. Also, you should drink plenty of fluids and be taking it easy from heavy exertional activities for a couple of days. It'll get better. But if it gets worse or something feels like it's swelling in the low back etc. You should contact the doctor right away. ...Read more

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I have had a migraine headache for the past two weeks. My neurologist has ordered a lumbar puncture. Why would he order it? How is it done?

I have had a migraine headache for the past two weeks. My neurologist has ordered a lumbar puncture. Why would he order it? How is it done?

Analysis: Low yield on lumbar punctures, but he's looking to analyze your spinal fluid. 99% sure it will come back as normal. The analysis can indicate infection, cancer, other medical conditions. ...Read more

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Is there a cure for IIH papilledema? I am taking acetazolamide and have done lumbar puncture once but I'm terribly afraid of losing my eyesight.

VP shunt: If your eye sight is getting worse even on acetazilamide, then next step is VP shunt by neurosurgeon. Consult to your eye doctor regularly i. E. Twice a year for your eye sight exam and evaluation of papilledema. If your headache is not controlled on high dose acetazolamide, the next step is VP Shunt. Talk to your doctor about it. ...Read more

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I had a lumbar puncture done in an ER...I am now having severe spinal headache, I cant even sit up at all!! I vomit and have to lay back down. HELP?

I had a lumbar puncture done in an ER...I am now having severe spinal headache, I cant even sit up at all!! I vomit and have to lay back down. HELP?

Post-LP headache: First thing, lay down. Don't get up. Second, hydrate - water/Gatorade/Powerade. And third, caffeine and ibuprofen (per instructions)! If not better in 72-96 hours post-LP, would contact provider who performed LP for possible epidural 'blood patch.' Most post-LP headaches resolve with the above instructions. Laying down is most important. ...Read more

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Had lumbar puncture done. Readings was WBC 11 Lymphs 96 and mononuclear 4. LP for extreme muscle spasms and facial numbness are these number average?

Had lumbar puncture done. Readings was WBC 11 Lymphs 96 and mononuclear 4. LP for extreme muscle spasms and facial numbness are these number average?

ToBeInterpretedByMD: There is something wrong with the results as described by you. There are only 11 WBCs and lymphocytes and mononuclear cells are also WBCs. LP results are always interpreted by the doctor who did the test. Normally there should not be more than 5 WBCs in the spinal fluid. High WBCs&that too only lymphocytes suggest a viral infection. But the results can only be interpreted by the treating doctor/neurolo ...Read more

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I had a lumbar puncture done 4 weeks ago. I am having horrible back pain, headaches, numbness, weakness and pain in my legs and hips.

I had a lumbar puncture done 4 weeks ago. I am having horrible back pain, headaches, numbness, weakness and pain in my legs and hips.

Need evaluation: The issues start with why you had the lumbar puncture. What were they looking for? Why was it done?

Then, how long after the LP did the syndrome evolve? Changing?

Do you have objective fever (actually measured fever)?

Have you had a lumbar MRI scan? What did it show?

Do you tend to get pain (background headaches, other pains, recurring pain problems)?

Go for further evaluation. ...Read more

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Lumbar puncture done 3+ years ago & still no one can massage/press on that site + about 2-3" around it. Now right foot and calf numb+lower back pain.?

Lumbar puncture done 3+ years ago & still no one can massage/press on that site + about 2-3" around it. Now right foot and calf numb+lower back pain.?

2 events?: Three years later, and ow there is foot numbness? For a problem like this, it is wise to start the evaluation over, with an interview, exam, and perhaps some testing, such as a nerve conduction test. It is conceivable the local pain was from a local injury, but it should not have caused foot numbness 3 years later. ...Read more

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5yo w/ fever 103.5 + severe headache. No stiff neck, no rash, no vomiting. Sent to ER by ped, no lumbar puncture done. 2nd opinion about meningitis?

5yo w/ fever 103.5 + severe headache. No stiff neck, no rash, no vomiting. Sent to ER by ped, no lumbar puncture done. 2nd opinion about meningitis?

See answer: Fevers are known to be accompanied with headaches and other symptoms like abdominal pain etc. The fact that child has been examined and has no symptoms to suggest meningitis (no neck rigidity, no vomiting, no rash) should put you at ease. Another important fact that can reassure is the sensorium - if child is responding well and sensorium is not altered. If worse in 12-24 hours go back to ER. ...Read more

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What will happen during a lumbar puncture?

Lumbar puncture (LP): Cerebrospinal fluid (CSF) bathes brain & spinal cord (cns). CSF may be abnormal in some diseases. In an lp, you are either on your side or sitting. Md feels lower back for interspace between 4th & 5th lumbar vertebrae, below end of cns. Lidocaine is injected. 3” hollow needle is inserted thru interspace & into sac holding CNS & csf. Md collects CSF (usually ~1 tsp) into 3-4 tubes. CSF sent to lab. ...Read more

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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

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What's a lumbar puncture likes?

Bee sting: The worst part of the lumbar puncture is the bee sting when you get local anesthesia injected. After that you should just feel some pressure in your back and not too much pain. ...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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How can I prepare for a lumbar puncture?

Relax!: Simply said, your expectations and advice from others, regardless of how well they mean, can put a ton of stress and tension on you. A lumbar puncture is a fairly painless procedure. Staying as still as you can during and then laying down after are the two main things you should do. Otherwise, in experienced hands, the procedure is safe and fairly painless. ...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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Getting a lumbar puncture, how serious is this?

Low risk if experien: Lumbar punctures are extremely common procedures and when performed by an experienced individual have a very low risk of complications and the benefits generally far outweigh the risks. Nevertheless, there are serious potential complications. ...Read more

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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 does a lumbar puncture actually help to prove?

What does a lumbar puncture actually help to prove?

Spinal fluid answers: The question: does the patient have intracranial bleeding? (presence red cells or xanthochromia) or infection present? (presence of white cells, bacteria, viral culture/antigens) or multiple sclerosis (presence of abnormal proteins). Also a l.P. (lumbar puncture) may show a high opening pressure which is a sign of pseudo-tumor (cause of chronic headaches). L.P. 's are safer now done under xray. ...Read more

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Can I take pain medication before a lumbar puncture?

Ask doctor: Before any procedure ask doctor for 'approved medications'. Invariably, nsaids (e.g. Aleve, (naproxen) advil) are to be stopped 1 week before a procedure to prevent bleeding complications. ...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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What is the definition or description of: lumbar puncture?

Obtain spinal fluid: 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 and perhaps diagnostic confirmation. ...Read more

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Need a simple explaination for this. What is a lumbar puncture?

Retrieval of fluid: A lumbar puncture is a diagnostic procedure in which a sample of the fluid that bathes the brain and spinal cord is retrieved for analysis. This is useful in the diagnosis of multiple diseases, including multiple sclerosis, meningitis, encephalitis, and some autoimmune diseases. In some diseases with elevated fluid pressure, such as pseudotumor cerebri, a lumbar puncture can also be therapeutic. ...Read more

Dr. Daniel Saurborn
1 Doctor shared a insight

Lumbar (Definition)

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