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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
Chapter 169. Central Nervous System Procedures and Devices
Sections: Lumbar Puncture, Cerebrospinal Fluid Shunts, Halo Devices, Other Central Nervous System Devices, Acknowledgment, References.
Excerpt:"Lumbar puncture is considered the gold standard diagnostic procedure to
assist clinicians with the evaluation for subarachnoid hemorrhage, meningitis,
and other neurologic conditions. Anxiolytics, such as benzodiazepines,
may be administered to improve patient comfort, relaxation, and
cooperation. Contraindications to lumbar puncture are listed in Table 169-1.Post–lumbar puncture headache is the most common complication
of lumbar puncture. Local back pain resolves within a few days.
Serious complications such as transtentorial herniation or epidural
hematoma are avoided by proper patient selection for the procedure...."
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