Papilledema. An updated approach. by Yaney González Yglesias, Pilar Chang Chao., Inés Zamora Galindo, Eduardo Hernández Peña

“…It is indispensable to carry out imaging tests before performing lumbar puncture. This article is an approach to the diagnosis and treatment of this gnoseological entity.…”
Get full text

Disseminated Histoplasmosis with Miliary Histoplasmosis, Neurohistoplasmosis, and Histoplasma capsulatum Bacteremia in Probable Neurosarcoidosis by Peter V. Bui

“…Patients with neurosarcoidosis are suspected to have blood-brain barrier dysfunction. Lumbar puncture should be considered as part of initial investigative studies for infection. …”
Get full text

Perinatal Catatonia in a Patient with a Twin Pregnancy of Unknown Chorionicity and Gestational Age Presenting in Spontaneous Preterm Labor by Ryan Farias, Janice Hartnett

“…She underwent an extensive workup with no significant findings on lumbar puncture, brain MRI, metabolic labs, and EEG. After exclusion of several acute underlying conditions, a presumptive diagnosis of catatonia secondary to exacerbation of underlying major depressive disorder was made. …”
Get full text

Optic Nerve Sheath Diameter as a Bedside Assessment for Elevated Intracranial Pressure by Peter Williams

“…After an obstructive lesion was ruled out on the computed tomography scan, a lumbar puncture was then performed and cerebrospinal fluid was drained. …”
Get full text

The proof is in the pudding: patient engagement in studying cannabidiol in mild cognitive impairment by Antonia Keck, Julia-Sophia Scheuermann, Petra Scheerbaum, Elmar Graessel, Kirsten R. Müller-Vahl

“…While most would undergo blood sampling (67.0%), only a minority (21.6%) would accept lumbar puncture. One-third were ready to participate (34.1%), while 54.5% were interested pending details. …”
Get full text

Evaluation of low cryptococcal antigen titer as determined by the lateral flow assay in serum and cerebrospinal fluid among HIV-negative patients: a retrospective diagnostic accura... by Xuan Wang, Jia-Hui Cheng, Ling-Hong Zhou, Jun-Hao Zhu, Rui-Ying Wang, Hua-Zhen Zhao, Ying-Kui Jiang, Li-Ping Huang, Ching-Wan Yip, Chun-Xing Que, Min Zhu, Li-Ping Zhu

“…Among the cases with low serum CrAg titers, lumbar puncture was performed in 97 patients and positive CSF CrAg titers were reported in 6 patients. …”
Get full text

Literature Review: Pericranial Nerve Blocks for Chronic Migraines by Stephanie Wahab, Saurabh Kataria, Parker Woolley, Naanama O’Hene, Chima Odinkemere, Rosa Kim, Ivan Urits, Alan D. Kaye, Jamal Hasoon, Cyrus Yazdi, Christopher L Robinson

“…Of the PNBs, the most extensively studied is the greater occipital nerve block (GONB) which has been shown to be an efficacious treatment for migraines, trigeminal neuralgia, hemi-crania continua, and post-lumbar puncture, post-concussive, cluster, and cervicogenic headaches but not medication overuse and chronic tension type headaches…”
Get full text

A Recurrent Headache by Joe Dylewski

“…The patient underwent a computed tomography scan of the brain, which was normal, followed by a lumbar puncture. The opening pressure was not recorded, but there were 23x106/L polymorphonuclear cells and 308x106/L lymphocytes in the cerebrospinal fluid (CSF). …”
Get full text

Listeria monocytogenes Meningoencephalitis and Cerebral Abscess in a Heart Transplant Recipient by Paul C. Adjei

“…Blood cultures eventually grew Listeria monocytogenes; MRI of the brain with gadolinium showed left brain meningoencephalitis with early cerebral abscess formation. Lumbar puncture revealed elevated opening pressure, CSF neutrophilic pleocytosis, and elevated CSF protein and lactate but negative gram stain and cultures. …”
Get full text

A Case Report of a Subdural Hematoma following Spinal Epidural prior to a Total Knee Arthroplasty by Brian J. Carlson, David G. Deckey, Henry D. Clarke, Joshua S. Bingham

“…Orthopedic surgeons should be aware of the signs and symptoms, as well as the risk factors for subdural hematomas following lumbar puncture, as it is a rare, but potentially life-threatening complication of spinal epidural.…”
Get full text

A Rare Cause of Hemophagocytic Lymphohistiocytosis: Fusobacterium Infection—A Case Report and Review of the Literature by Ghulam Rehman Mohyuddin, Heather J. Male

“…Broad spectrum antibiotics were initiated, and a lumbar puncture ruled out meningitis. Patient progressively developed shock that required use of vasopressors, as well as renal and respiratory failure. …”
Get full text

Neurosyphilis Presenting as Asymptomatic Optic Perineuritis by Sarah E. Parker, John H. Pula

“…Brain MRI was unremarkable, and lumbar puncture revealed a normal opening pressure, with an elevated cerebrospinal fluid white cell count. …”
Get full text

Optic nerve sheath diameter/eyeball transverse diameter ratio by ultrasound in prediction of increased intracranial pressure in children with viral encephalitis by Chun Zhao, Peng-Cheng Sun, Ke-Jie Fang, Hui-Hui Fu, Li-Feng Wei, Yin-Yun Miao, Xin-Xin Guo, Xiao-Ling Weng

“…The initial ONSD/ETD ratio measurement by ultrasound were completed before lumbar puncture. Children were divided into the increased ICP group and the normal ICP group based on whether the ICP was over 200 mmH2O measured by lumbar puncture. …”
Get full text

Transverse Myelitis Associated with Cryptococcus neoformans in an Immunocompetent Patient by David B. Villafuerte, Marco F. Passeri, Rayan Qazi, Moulika Baireddy, Fernando L. Sanchez

“…Analysis of cerebral spinal fluid (CSF) obtained via lumbar puncture was positive for the Streptococcus antigen with cultures also growing Cryptococcus neoformans. …”
Get full text

Bilateral Medial Medullary Stroke: A Challenge in Early Diagnosis by Amir M. Torabi

“…Other possibilities were excluded by lumbar puncture and MRI of cervical spine. MR of C-spine showed lesion at medial medulla; therefore a second MRI of brain was requested, showed characteristic “heart appearance” shape at diffusion weighted (DWI), and confirmed bilateral medial medullary stroke. …”
Get full text

Variant Guillain-Barré Syndrome in a Patient with Non-Hodgkin’s Lymphoma by R. H. Bishay, J. Paton, V. Abraham

“…Nerve conduction studies and lumbar puncture supported a rare, but ominous, axonal variant of Guillain-Barré Syndrome (GBS) known as acute motor and sensory axonal neuropathy (AMSAN), which is distinguished from the more common, acute demyelinating forms of GBS. …”
Get full text

An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death by Sayyed Gholam Reza Mortazavimoghaddam, H. R. Riasi

“…CSF pressure was 225 mm/H2O. Therapeutic lumbar puncture was done in two sequential weeks, and the patient was on acetazolamide 250 mg/trivise a day. …”
Get full text

Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma by Andreas M. Stark, Heinz-Herrmann Hugo, H. Maximilian Mehdorn, Friederike Knerlich-Lukoschus

“…MRI now ruled out local tumor progression but revealed meningeal contrast enhancement along the medulla, the myelon, and the cauda equina. Repeated lumbar puncture revealed increased cerebro-spinal fluid (CSF) pressure and protein content. …”
Get full text

Idiopathic intracranial hypertension. Case report and literature review by L. Lauruvėnaitė, R. Raugalas, J. Grikinienė

“…Ophthalmologic examination revealed papilledema in both eyes, lumbar puncture showed an increased intracranial pressure, magnetic resonance imaging and angiography identified no structural cerebral lesions, only optic disc bulging in both eyes. …”
Get full text

Cardiac Tamponade as the Initial Presentation of Acute Myeloid Leukemia: A Case Report with Review of the Literature by Dillon Karmo, Adam Hafeez, Alexandra Halalau, Siddhartha Yadav

“…Leukemic cells were also seen in the cerebrospinal fluid on lumbar puncture. An echocardiogram revealed a large pericardial effusion causing tamponade. …”
Get full text