Cerebrospinal fluid and lumbar puncture: a practical review
Top Cited Papers
- 26 January 2012
- journal article
- review article
- Published by Springer Nature in Journal of Neurology
- Vol. 259 (8) , 1530-1545
Abstract
Cerebrospinal fluid is vital for normal brain function. Changes to the composition, flow, or pressure can cause a variety of neurological symptoms and signs. Equally, disorders of nervous tissue may alter cerebrospinal fluid characteristics. Analysis of cerebrospinal fluid can provide information on diagnosis, may be therapeutic in certain conditions, and allows a research opportunity into neurological disease. However, inappropriate sampling, inaccurate technique, and incomplete analysis can contribute to significant patient morbidity, and reduce the amount of accurate information obtained. In this article, we will review how cerebrospinal fluid is produced, circulated, and resorbed. We will also review lumbar puncture technique, equipment, and cerebrospinal fluid analysis. We also discuss how to minimize the risks and address the complications associated with lumbar puncture.Keywords
This publication has 93 references indexed in Scilit:
- Headache rate and cost of care following lumbar puncture at a single tertiary care hospitalNeurology, 2011
- Diagnostic criteria for multiple sclerosis: 2010 Revisions to the McDonald criteriaAnnals of Neurology, 2011
- Cerebrospinal fluid pulse pressure amplitude during lumbar infusion in idiopathic normal pressure hydrocephalus can predict response to shuntingFluids and Barriers of the CNS, 2010
- Evaluation of Cerebrospinal Fluid for the Presence of Anticardiolipin Antibodies (aCL) in NP-SLE PatientsClinical Rheumatology, 2000
- Cerebral vasculitis--recognition, diagnosis and managementQJM: An International Journal of Medicine, 1997
- Post-Lumbar-Puncture Headache: The Significance of Body Posture: A Controlled Study of 300 PatientsCephalalgia, 1988
- Transient changes in cerebral vascular resistance during the Valsalva maneuver in man.Stroke, 1984
- Complications of lumbar puncture followed by anticoagulation.Stroke, 1981
- Epithelial potassium transport: Tracer and electrophysiological studies in choroid plexusThe Journal of Membrane Biology, 1981
- Informed Consent before Lumbar PunctureNew England Journal of Medicine, 1980