Doctor insights on:
What Happens If A Lumbar Puncture Is Done Too High
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
As often as needed: To diagnose or treat a patient illeness. ...Read more
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
I've been diagnosed with papilledima taking Acetazolamide and have done the lumbar puncture once. I'm afraid of losing my eyesight. Will tat happen?
Not likely: With aggressive treatment it is unlikely that you will loose your eyesight but it may not return to baseline prior to the attack. ...Read more
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
Had lumbar puncture done yester now having some chest pain is this related or should I be concerned?
Low back: Most often in the lower back (between L4 and L5 or between L5 and s1). ...Read more
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
I had a lumbar puncture done 3 days ago. Starting the next day I am having headaches that are light but not very bad. Do I have to get a blood patch?
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
I was injected with steroids which have been identified as coming from a contaminated batch. Where is a lumbar puncture done - what part of body?
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
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
3 OBands in CSF. Serum negative. 4 OBands positve for Mayo Clinic standards? Lumbar puncture was done 3 months after major symptoms. More damage needed?
More details needed: What bands and serum test are you referring to? ...Read more
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
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?
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
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
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
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.
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
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
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
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
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
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
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
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
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
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
Depends: See my recent answer. Ruling out infection, bleeding, ms, and to check pressure are the commonest reasons. ...Read more
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
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