alexa Contraindications of lumbar puncture

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Contraindications of lumbar puncture

Lumbar puncture should not be performed in the following situations:

    Idiopathic (unidentified cause) increased intracranial pressure (ICP)
        Rationale: lumbar puncture in the presence of increased ICP may cause uncal herniation
        Exception: therapeutic use of lumbar puncture to reduce ICP
        Precaution
            CT brain is advocated by some, especially in the following situations
                Age >65
                Reduced GCS
                Recent history of seizure
                Focal neurological signs
            Ophthalmoscopy for papilledema
    Bleeding diathesis
        Coagulopathy
        Decreased platelet count (<50 x 109/L)
    Infections
        Skin infection at puncture site
        Sepsis
    Abnormal respiratory pattern
    Hypertension with bradycardia and deteriorating consciousness
    Vertebral deformities (scoliosis or kyphosis), in hands of an inexperienced physician

 
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