Should the contraindications of lumbar puncture needle in the brain be appropriately relaxed?
Mar 23, 2022
Lumbar puncture with elevated intracranial pressure is easy to induce brain herniation, so it is a contraindication to conventional lumbar puncture. Lumbar puncture is not only a necessary inspection method for energy-saving diagnosis and observation of the disease, but also an effective treatment method. Meningitis is caused by a special tuberculous inflammatory exudate, the adhesion of the meninges at the base of the skull, the normal circulation of the cerebrospinal fluid is blocked, and the conduction of intracranial pressure is affected. smaller.
In recent years, we have performed a large sample of lumbar puncture and cerebrospinal fluid injection and intrathecal injection treatment, and have received good results. There is no medical record of brain herniation caused by this operation. The patients were given intracranial pressure lowering and sedation before and after surgery, respectively. It is worth further discussion to perform a prudent lumbar puncture for patients with tuberculous meningitis and high intracranial pressure to meet the needs of clinical diagnosis.
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