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Lumbar puncture 

Lumbar puncture
Chapter:
Lumbar puncture
Author(s):

Roger A. Barker

, Wendy Phillips

, and R. Rhys Davies

DOI:
10.1093/med/9780199204854.003.24301
Page of

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date: 27 October 2021

Lumbar puncture provides the means to sample cerebrospinal fluid for diagnostic purposes and to remove it for some therapeutic purposes. The procedure allows measurement of the pressure of cerebrospinal fluid, its cytological composition, biochemical content, and microbial as well as serological characteristics.

Indications—the commonest diagnostic indications are clinical suspicion of central nervous system infection (meningitis, encephalitis), subarachnoid haemorrhage, and demyelinating diseases (central and peripheral); the commonest therapeutic indications are idiopathic intracranial hypertension and for intrathecal administration of drugs....

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