What are the contraindications to lumbar puncture?
Mar 06, 2022
1) Those with signs of brain herniation are absolutely contraindicated.
2) Clinically diagnosed as intracranial space-occupying lesions with significantly increased intracranial pressure.
3) If the skin and soft tissue at the puncture site are infected, lumbar puncture will easily bring the infection to the spinal canal or even the brain.
4) Open head injury or infected cerebrospinal fluid leakage, lumbar puncture to release cerebrospinal fluid may suck the infection into the subarachnoid space. 5) The lumbar spine at the puncture site has deformity or bone destruction.
6) Severe systemic infection (sepsis). Those who are in shock or on the verge of clinical shock, or those who are restless and unable to cooperate.
7) High cervical spinal cord compression lesions, when the spinal cord function is in complete disappearance, after lumbar puncture, it is easy to make the disease worse or even stop breathing.
8) Lumbar puncture is forbidden for those without neurological examination, especially without fundus examination.
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