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Quincke's puncture" is a somewhat outdated eponym for lumbar puncture, [4] [5] used for the examination of the cerebrospinal fluid in numerous diseases such as meningitis and multiple sclerosis. In 1893 he described what is now known as idiopathic intracranial hypertension, which he labeled "serous meningitis". [6]
A spinal needle is inserted between the lumbar vertebrae L3/L4, L4/L5 [10] or L5/S1 [10] and pushed in until there is a "give" as it enters the lumbar cistern wherein the ligamentum flavum is housed. The needle is again pushed until there is a second 'give' that indicates the needle is now past the dura mater .
The test involves removing 30–50 ml of CSF through a lumbar puncture, after which motor and cognitive function is clinically reassessed. [1] The name "Fisher test" is after C. Miller Fisher , a Canadian neurologist working in Boston, Massachusetts, who described the test.
A shunt is described as a tube, catheter or "surgically created anastomosis" [2] and is designed to bypass or redirect bodily fluids from one point in the body to another. Lumbar–peritoneal shunts are used in neurological disorders, in cases of chronic increased intracranial pressure to drain excess cerebrospinal fluid (CSF) from the ...
Arterial blood sampling, such as by radial artery puncture. This can be done for arterial blood gas analysis. Capillary blood sampling, generally by using a blood lancet for puncture, followed by sampling by capillary action with a test strip or small pipe. This is common for routine diabetic monitoring for glucose.
Radionuclide cisternography may be used to diagnose a spinal cerebrospinal fluid leak. CSF pressure is measured and imaged over 24 hours. [2] A radionuclide (radioisotope) is injected by lumbar puncture (spinal tap) into the cerebral spinal fluid to determine if there is abnormal CSF flow within the brain and spinal canal which can be altered by hydrocephalus, Arnold–Chiari malformation ...
A-a g = 10 OTHER: Ca = 9.5 Mg 2+ = 2.0 PO 4 = 1 CK = 55 BE = −0.36 AG = 16 ... In addition, damage to small blood vessels during lumbar puncture (traumatic tap) can ...
Medical intervention Epidural administration A freshly inserted lumbar epidural catheter. The site has been prepared with tincture of iodine, and the dressing has not yet been applied. Depth markings may be seen along the shaft of the catheter. ICD-9-CM 03.90 MeSH D000767 OPS-301 code 8-910 [edit on Wikidata] Epidural administration (from Ancient Greek ἐπί, "upon" + dura mater) is a method ...