How to perform a Lumbar Puncture

The first reports of a lumbar puncture (LP) being undertaken are from the late 19th century [1]. Heinrich Irenaeus Quince (with whom the Lumbar Puncture is commonly associated with) reported to the tenth congress of Internal Medicine in April 1891­­ that he had performed in one case 3 lumbar punctu...

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Bibliographic Details
Main Author: Clarence Mwelwa Patrick Chikusu
Format: Article
Language:English
Published: Health and Social Sciences Research Institute - South Sudan (HSSRI-SS) 2016-11-01
Series:South Sudan Medical Journal
Online Access:http://www.southsudanmedicaljournal.com/archive/november-2016/how-to-perform-a-lumbar-puncture.html
Description
Summary:The first reports of a lumbar puncture (LP) being undertaken are from the late 19th century [1]. Heinrich Irenaeus Quince (with whom the Lumbar Puncture is commonly associated with) reported to the tenth congress of Internal Medicine in April 1891­­ that he had performed in one case 3 lumbar punctures in a patient with suspected tuberculous meningitis who was comatose [1,2]. The procedures were done at 3 day intervals and the patient recovered. The other case was in a patient that had chronic hydrocephalus and suffered headaches. Lumbar puncture in this patient relieved the symptoms. One month after Quincke’s report to the congress, Walter Essex Wynter, a Registrar at the time, published in the Lancet 4 cases of cerebrospinal fluid (CSF) aspiration in patients with meningitis suspected [3]. The Lumbar Puncture was a procedure dedicated to the relief of symptoms (at that time mainly meningitis or raised intracranial pressure) [4]. It has subsequently become a procedure that can be diagnostic or therapeutic, and the technique has become more refined with improved instruments, awareness of aseptic techniques and the increased availability and knowledge of anaesthesia.
ISSN:2309-4605
2309-4613