Will lumbar puncture for meningitis make me more stupid?

Meningitis is a common infectious disease of the nervous system, which is mostly caused by infection with pathogens such as viruses, bacteria, Mycobacterium tuberculosis, and fungi. Typical clinical manifestations are fever, headache and other symptoms, but also vomiting, diarrhea, loss of appetite, general malaise, listlessness, and in severe cases, the brain parenchyma may be invaded, and epileptic seizures, mental disorders, and disturbance of consciousness may occur. Therefore, when the disease itself develops to a severe degree, mental symptoms may appear, which are easily mistaken by patients and their families as complications caused by lumbar puncture.

If you want to know whether a waist piercing will make people stupid, you must first clarify why you should do a waist piercing. Indications for lumbar puncture are:

(1) Infectious diseases of the central nervous system, including meningitis and encephalitis caused by various pathogens; (2) Non-infectious diseases of the central nervous system, such as demyelinating diseases, autoimmune encephalitis, etc.; (3) Arachnoid When inferior cavity hemorrhage cannot be confirmed by head CT examination; (4) Diagnosis of malignant tumor involving the meninges; (5) Diagnosis of spinal cord lesions and polyradiculopathy; (6) Confirmation of abnormal intracranial pressure; (7) Intrathecal Drug therapy; (8) Myelography.

After understanding why a lumbar puncture is needed, the next step is to understand the complications of lumbar puncture. There are four main complications: (1) headache after lumbar puncture; (2) bleeding; (3) infection; (4) brain herniation. Most of these complications can be avoided through strict aseptic operation by doctors and a good grasp of indications and contraindications. In very rare cases, patients with abnormal constitutions such as congenital spinal cord malformations and rich venous sinuses cannot be avoided. It can be seen that doing a lumbar puncture does not make people stupid. From another point of view, if every patient had a lumbar puncture, it would be stupid, and the medical community would not use this operation as a routine check. The purpose of various examinations is to diagnose and identify related diseases, and to do various examinations at the least cost under the premise of ensuring patient safety as much as possible. If the patient's condition is not suitable for lumbar puncture, the doctor will not insist on allowing the patient to do it.

For meningitis and encephalitis, the process characteristics of the disease itself determine the clinical manifestations of the patient. When these diseases progress to a severe stage, mental disorders may occur, which is easy for family members to mistakenly believe that it is caused by lumbar puncture. Lumbar puncture is only an inspection method for disease diagnosis and identification, and cannot be replaced by other inspection methods. Doing lumbar puncture will not be more foolish, as long as the indications and contraindications are mastered, it is safe and reliable in most cases.

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