Can a lumbar puncture needle cause damage to the cauda equina?
Feb 12, 2022
During the whole process of lumbar puncture, some of the puncture operations are likely to cause subcutaneous hemorrhage at the puncture site, which is related to the patient's physical fitness, health status, and whether coagulation is routine or not. If the subcutaneous hemorrhage caused by the puncture operation is more serious, then due to the special location, it is easy to directly lead to the damage of the cauda equina nerve or the appearance of cauda equina syndrome after the cauda equina nerve is squeezed by the subcutaneous hemorrhage.
After the cauda equina nerve is squeezed, there will be tingling or numbness in the lower limbs. Abnormalities in these two senses are relatively common symptoms. If there is a very obvious damage to the cauda equina, it may endanger one's mobility, and in more serious cases, it may result in semi-paralysis or paralysis. The proportion of paralysis caused naturally from the cauda equina is relatively small compared to the total number of cases.
The cauda equina nerve belongs to the peripheral nerve, which not only endangers everyone's motor function and sensory function, but also endangers the patient's defecation and sensory problems in the saddle area, which can cause the patient to have urinary incontinence, urinary retention, and difficulty in defecation. Therefore, the cauda equina is also a very important innervation area for our body.
The cauda equina syndrome formed after damage to the cauda equina nerve is also regarded as a more serious complication in the lumbar spine complications.
Due to the current central nervous system inflammatory conditions, cerebrovascular accident conditions, or central nervous system diseases, lumbar puncture is required in the case of intraspinal drug administration. Therefore, the incidence of complications is also increasing, but if the user evaluation is good, doctors with sufficient experience are generally less likely to have misoperations. Greatly reduces the probability of complications for patients due to the means.
Therefore, under what circumstances do patients usually experience lumbar puncture sequelae? This depends on the patient's own condition. If the patient needs to take puncture surgery for a long time, and continuously take puncture surgery, some unavoidable injuries will occur to the muscles of the lower back. Therefore, under such a probability, a little unprofessional Or unskilled physicians can cause complications for patients.
Since the puncture operation performed by the general large hospital is generally performed by a resident doctor or a trainee physician, the difference is somewhat different. Therefore, even if a lumbar puncture is necessary, it must be done. Pick a physician who is experienced enough to do it. Another situation is that there is no disinfection and sterilization under the condition of puncture operation. In some unprofessional "hospitals", it is very likely that medical equipment is not disinfected and sterilized. Therefore, bacterial infection during the puncture operation is likely to cause other diseases. complication.
Of course, cauda equina syndrome is only one of the serious sequelae of lumbar puncture. Lumbar puncture may induce brain herniation. Once the foramen magnum hernia is induced, there will be sudden arrest of breathing and heartbeat, resulting in the death of the patient. Therefore, patients undergoing lumbar puncture should try not to stay up late at night, have regular work and rest, and cannot play with mobile phones and computers for a long time.
It is not to scare you that I have introduced this to you, because in the past, some patients who had cauda equina syndrome after lumbar puncture have reported some of the conditions in various cases. You should not only understand the good aspects of certain diagnosis and treatment methods in the process of selecting them, but also have the right to know the bad results.
However, lumbar puncture is indeed an indispensable clinical diagnosis method for many diseases. If you choose the correct indications for lumbar puncture and master the operation process accurately, lumbar puncture will not easily cause risks to your health, and it will not cause cerebrospinal fluid. It will make people stupid and less likely to cause complications.
After lumbar puncture, keep the puncture site dry and clean, lie down and rest, keep warm to avoid getting cold, and avoid stooping and moving. It is not easy to leave complications after training for some days! However, in the selection of doctors and hospitals for lumbar puncture, we must choose a professional, and the relevant experience in evaluation is relatively sufficient! After all, your health is your own, not for others to practice.
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