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Quincke's puncture" is a somewhat outdated eponym for lumbar puncture, [4] [5] used for the examination of the cerebrospinal fluid in numerous diseases such as meningitis and multiple sclerosis.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]
Illustration depicting lumbar puncture (spinal tap) Spinal needles used in lumbar puncture Illustration depicting common positions for lumbar puncture procedure. The person is usually placed on their side (left more commonly than right). The patient bends the neck so the chin is close to the chest, hunches the back, and brings knees toward the ...
The only actual test is a lumbar puncture to get the real pressure inside your head. #53 It’s common for people in motor vehicle accidents to sustain a ruptured bladder.
An epidural blood patch (EBP) is a surgical procedure that uses autologous blood, meaning the patient's own blood, in order to close one or many holes in the dura mater of the spinal cord, which occurred as a complication of a lumbar puncture or epidural placement. [1] [2] The punctured dura causes cerebrospinal fluid leak (CSF leak). [1]
Occasionally, a lumbar puncture is also required. [2] After confirmation further tests are usually performed to determine the underlying cause. [2] Treatment is by prompt neurosurgery or endovascular coiling. [1] Medications such as labetalol may be required to lower the blood pressure until repair can occur. [1]
A trephine biopsy should never be performed on the sternum, due to the risk of injury to blood vessels, lungs or the heart. Bone marrow aspiration may also be performed on the tibial (shinbone) site in children up to 2 years of age while spinous process aspiration is frequently done in a lumbar puncture position and on the L3-L4 vertebrae.
A lumbar puncture in progress. A large area on the back has been washed with an iodine-based disinfectant leaving brown colouration. In this image the person is seated upright, which can make the procedure easier to perform but makes any measurement of the opening pressure unreliable.
Image credits: Klutzy-Ad-6705 #3. Getting hit by a car. Woke up in the hospital a month later with casts on my legs, many fractures, and a damaged brain. Spent most of a year in a brain injury ...