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Published in: Journal of Neurology 8/2012

01-08-2012 | Review

Cerebrospinal fluid and lumbar puncture: a practical review

Authors: Ben L. C. Wright, James T. F. Lai, Alexandra J. Sinclair

Published in: Journal of Neurology | Issue 8/2012

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Abstract

Cerebrospinal fluid is vital for normal brain function. Changes to the composition, flow, or pressure can cause a variety of neurological symptoms and signs. Equally, disorders of nervous tissue may alter cerebrospinal fluid characteristics. Analysis of cerebrospinal fluid can provide information on diagnosis, may be therapeutic in certain conditions, and allows a research opportunity into neurological disease. However, inappropriate sampling, inaccurate technique, and incomplete analysis can contribute to significant patient morbidity, and reduce the amount of accurate information obtained. In this article, we will review how cerebrospinal fluid is produced, circulated, and resorbed. We will also review lumbar puncture technique, equipment, and cerebrospinal fluid analysis. We also discuss how to minimize the risks and address the complications associated with lumbar puncture.
Literature
1.
go back to reference Miller JD, Stanek A, Langfitt TW (1972) Concepts of cerebral perfusion pressure and vascular compression during intracranial hypertension. Prog Brain Res 35:411–432PubMedCrossRef Miller JD, Stanek A, Langfitt TW (1972) Concepts of cerebral perfusion pressure and vascular compression during intracranial hypertension. Prog Brain Res 35:411–432PubMedCrossRef
2.
go back to reference Welch K (1963) Secretion of cerebrospinal fluid by choroid plexus of the rabbit. Am J Physiol 205:617–624PubMed Welch K (1963) Secretion of cerebrospinal fluid by choroid plexus of the rabbit. Am J Physiol 205:617–624PubMed
3.
go back to reference McComb JG (1983) Recent research into the nature of cerebrospinal fluid formation and absorption. J Neurosurg 59(3):369–383PubMedCrossRef McComb JG (1983) Recent research into the nature of cerebrospinal fluid formation and absorption. J Neurosurg 59(3):369–383PubMedCrossRef
4.
go back to reference Adams JH, Graham DI (1988) An introduction to neuropathology, 2nd edn. Churchill Livingstone, New York, pp 34–36 Adams JH, Graham DI (1988) An introduction to neuropathology, 2nd edn. Churchill Livingstone, New York, pp 34–36
5.
go back to reference Wright EM (1978) Transport processes in the formation of the cerebrospinal fluid. Rev Physiol Biochem Pharmacol 83:3–34PubMed Wright EM (1978) Transport processes in the formation of the cerebrospinal fluid. Rev Physiol Biochem Pharmacol 83:3–34PubMed
6.
go back to reference Speake T, Whitwell C, Kajita H, Majid A, Brown PD (2001) Mechanisms of CSF secretion by the choroid plexus. Microsc Res Tech 52(1):49–59PubMedCrossRef Speake T, Whitwell C, Kajita H, Majid A, Brown PD (2001) Mechanisms of CSF secretion by the choroid plexus. Microsc Res Tech 52(1):49–59PubMedCrossRef
7.
go back to reference Ernst SA, Palacios JR 2nd, Siegel GJ (1986) Immunocytochemical localization of Na+, K+-ATPase catalytic polypeptide in mouse choroid plexus. J Histochem Cytochem 34(2):189–195PubMedCrossRef Ernst SA, Palacios JR 2nd, Siegel GJ (1986) Immunocytochemical localization of Na+, K+-ATPase catalytic polypeptide in mouse choroid plexus. J Histochem Cytochem 34(2):189–195PubMedCrossRef
8.
go back to reference Davson H, Segal MB (1970) The effects of some inhibitors and accelerators of sodium transport on the turnover of 22Na in the cerebrospinal fluid and the brain. J Physiol 209(1):131–153PubMed Davson H, Segal MB (1970) The effects of some inhibitors and accelerators of sodium transport on the turnover of 22Na in the cerebrospinal fluid and the brain. J Physiol 209(1):131–153PubMed
9.
go back to reference Zeuthen T, Wright EM (1978) An electrogenic NA+/K+ pump in the choroid plexus. Biochim Biophys Acta 511(3):517–522PubMedCrossRef Zeuthen T, Wright EM (1978) An electrogenic NA+/K+ pump in the choroid plexus. Biochim Biophys Acta 511(3):517–522PubMedCrossRef
10.
go back to reference Wu Q, Delpire E, Hebert SC, Strange K (1998) Functional demonstration of Na+-K+-2Cl- cotransporter activity in isolated, polarized choroid plexus cells. Am J Physiol 275(6 Pt 1):C1565–C1572PubMed Wu Q, Delpire E, Hebert SC, Strange K (1998) Functional demonstration of Na+-K+-2Cl- cotransporter activity in isolated, polarized choroid plexus cells. Am J Physiol 275(6 Pt 1):C1565–C1572PubMed
11.
go back to reference Zeuthen T, Wright EM (1981) Epithelial potassium transport: tracer and electrophysiological studies in choroid plexus. J Membr Biol 60(2):105–128PubMedCrossRef Zeuthen T, Wright EM (1981) Epithelial potassium transport: tracer and electrophysiological studies in choroid plexus. J Membr Biol 60(2):105–128PubMedCrossRef
12.
go back to reference Murphy VA, Johanson CE (1989) Alteration of sodium transport by the choroid plexus with amiloride. Biochim Biophys Acta 979(2):187–192PubMedCrossRef Murphy VA, Johanson CE (1989) Alteration of sodium transport by the choroid plexus with amiloride. Biochim Biophys Acta 979(2):187–192PubMedCrossRef
13.
go back to reference Deng QS, Johanson CE (1989) Stilbenes inhibit exchange of chloride between blood, choroid plexus and cerebrospinal fluid. Brain Res 501(1):183–187PubMedCrossRef Deng QS, Johanson CE (1989) Stilbenes inhibit exchange of chloride between blood, choroid plexus and cerebrospinal fluid. Brain Res 501(1):183–187PubMedCrossRef
14.
go back to reference Nielsen S, Smith BL, Christensen EI, Agre P (1993) Distribution of the aquaporin CHIP in secretory and resorptive epithelia and capillary endothelia. Proc Natl Acad Sci USA 90(15):7275–7279PubMedCrossRef Nielsen S, Smith BL, Christensen EI, Agre P (1993) Distribution of the aquaporin CHIP in secretory and resorptive epithelia and capillary endothelia. Proc Natl Acad Sci USA 90(15):7275–7279PubMedCrossRef
15.
go back to reference Venero JL, Vizuete ML, Ilundain AA, Machado A, Echevarria M, Cano J (1999) Detailed localization of aquaporin-4 messenger RNA in the CNS: preferential expression in periventricular organs. Neuroscience 94(1):239–250 (pii:S0360-4522(99)00182-7)PubMedCrossRef Venero JL, Vizuete ML, Ilundain AA, Machado A, Echevarria M, Cano J (1999) Detailed localization of aquaporin-4 messenger RNA in the CNS: preferential expression in periventricular organs. Neuroscience 94(1):239–250 (pii:S0360-4522(99)00182-7)PubMedCrossRef
16.
go back to reference Halmi P, Parkkila S, Honkaniemi J (2006) Expression of carbonic anhydrases II, IV, VII, VIII and XII in rat brain after kainic acid induced status epilepticus. Neurochem Int 48(1):24–30PubMedCrossRef Halmi P, Parkkila S, Honkaniemi J (2006) Expression of carbonic anhydrases II, IV, VII, VIII and XII in rat brain after kainic acid induced status epilepticus. Neurochem Int 48(1):24–30PubMedCrossRef
17.
18.
go back to reference Masuzawa T, Hasegawa T, Nakahara N, Iida K, Sato F (1984) Localization of carbonic anhydrase in the rat choroid plexus epithelial cell. Ann NY Acad Sci 429:405–407PubMedCrossRef Masuzawa T, Hasegawa T, Nakahara N, Iida K, Sato F (1984) Localization of carbonic anhydrase in the rat choroid plexus epithelial cell. Ann NY Acad Sci 429:405–407PubMedCrossRef
19.
go back to reference Nogradi A, Kelly C, Carter ND (1993) Localization of acetazolamide-resistant carbonic anhydrase III in human and rat choroid plexus by immunocytochemistry and in situ hybridisation. Neurosci Lett 151(2):162–165PubMedCrossRef Nogradi A, Kelly C, Carter ND (1993) Localization of acetazolamide-resistant carbonic anhydrase III in human and rat choroid plexus by immunocytochemistry and in situ hybridisation. Neurosci Lett 151(2):162–165PubMedCrossRef
20.
go back to reference Vogh BP, Godman DR, Maren TH (1987) Effect of AlCl3 and other acids on cerebrospinal fluid production: a correction. J Pharmacol Exp Ther 243(1):35–39PubMed Vogh BP, Godman DR, Maren TH (1987) Effect of AlCl3 and other acids on cerebrospinal fluid production: a correction. J Pharmacol Exp Ther 243(1):35–39PubMed
21.
go back to reference Schwalbe G (1869) Der Arachnoidalraum ein Lymphraum und sein Zusammenhang mit den Perichoriodalraum. Zentralbl Med Wiss 7:465–467 Schwalbe G (1869) Der Arachnoidalraum ein Lymphraum und sein Zusammenhang mit den Perichoriodalraum. Zentralbl Med Wiss 7:465–467
22.
go back to reference Johnston M, Zakharov A, Papaiconomou C, Salmasi G, Armstrong D (2004) Evidence of connections between cerebrospinal fluid and nasal lymphatic vessels in humans, non-human primates and other mammalian species. Cerebrospinal Fluid Res 1(1):2PubMedCrossRef Johnston M, Zakharov A, Papaiconomou C, Salmasi G, Armstrong D (2004) Evidence of connections between cerebrospinal fluid and nasal lymphatic vessels in humans, non-human primates and other mammalian species. Cerebrospinal Fluid Res 1(1):2PubMedCrossRef
26.
go back to reference Layton KF, Kallmes DF, Horlocker TT (2006) Recommendations for anticoagulated patients undergoing image-guided spinal procedures. AJNR Am J Neuroradiol 27(3):468–470PubMed Layton KF, Kallmes DF, Horlocker TT (2006) Recommendations for anticoagulated patients undergoing image-guided spinal procedures. AJNR Am J Neuroradiol 27(3):468–470PubMed
28.
go back to reference Ruff RL, Dougherty JH Jr (1981) Complications of lumbar puncture followed by anticoagulation. Stroke J Cereb Circ 12(6):879–881CrossRef Ruff RL, Dougherty JH Jr (1981) Complications of lumbar puncture followed by anticoagulation. Stroke J Cereb Circ 12(6):879–881CrossRef
29.
go back to reference Sinniah D, Looi LM, Ortega JA, Siegel SE, Landing B (1982) Cerebellar coning and uncal herniation in childhood acute leukaemia. Lancet 2(8300):702–704PubMedCrossRef Sinniah D, Looi LM, Ortega JA, Siegel SE, Landing B (1982) Cerebellar coning and uncal herniation in childhood acute leukaemia. Lancet 2(8300):702–704PubMedCrossRef
30.
go back to reference Hasegawa K, Yamamoto N (1999) Nerve root herniation secondary to lumbar puncture in the patient with lumbar canal stenosis. A case report. Spine (Phila Pa 1976) 24(9):915–917 Hasegawa K, Yamamoto N (1999) Nerve root herniation secondary to lumbar puncture in the patient with lumbar canal stenosis. A case report. Spine (Phila Pa 1976) 24(9):915–917
31.
32.
go back to reference Gopal AK, Whitehouse JD, Simel DL, Corey GR (1999) Cranial computed tomography before lumbar puncture: a prospective clinical evaluation. Arch Intern Med 159(22):2681–2685PubMedCrossRef Gopal AK, Whitehouse JD, Simel DL, Corey GR (1999) Cranial computed tomography before lumbar puncture: a prospective clinical evaluation. Arch Intern Med 159(22):2681–2685PubMedCrossRef
33.
go back to reference Beresford HR (1980) Informed consent before lumbar puncture. N Engl J Med 303(26):1534PubMed Beresford HR (1980) Informed consent before lumbar puncture. N Engl J Med 303(26):1534PubMed
34.
go back to reference Sinclair A, Burdon M, Ball A, Nightingale N, Good P, Matthews T, Jacks A, Lawden M, Clarke C, Walker E, Tomlinson J, Stewart P, Rauz S (2010) Low-energy diet and intracranial pressure in women with idiopathic intracranial hypertension: prospective cohort study. BMJ 7:341 Sinclair A, Burdon M, Ball A, Nightingale N, Good P, Matthews T, Jacks A, Lawden M, Clarke C, Walker E, Tomlinson J, Stewart P, Rauz S (2010) Low-energy diet and intracranial pressure in women with idiopathic intracranial hypertension: prospective cohort study. BMJ 7:341
36.
go back to reference Neville L, Egan RA (2005) Frequency and amplitude of elevation of cerebrospinal fluid resting pressure by the Valsalva maneuver. Can J Ophthalmol 40(6):775–777PubMed Neville L, Egan RA (2005) Frequency and amplitude of elevation of cerebrospinal fluid resting pressure by the Valsalva maneuver. Can J Ophthalmol 40(6):775–777PubMed
37.
go back to reference Greenfield JC Jr, Rembert JC, Tindall GT (1984) Transient changes in cerebral vascular resistance during the Valsalva maneuver in man. Stroke J Cereb Circ 15(1):76–79CrossRef Greenfield JC Jr, Rembert JC, Tindall GT (1984) Transient changes in cerebral vascular resistance during the Valsalva maneuver in man. Stroke J Cereb Circ 15(1):76–79CrossRef
38.
go back to reference Corbett JJ, Mehta MP (1983) Cerebrospinal fluid pressure in normal obese subjects and patients with pseudotumor cerebri. Neurology 33(10):1386–1388PubMedCrossRef Corbett JJ, Mehta MP (1983) Cerebrospinal fluid pressure in normal obese subjects and patients with pseudotumor cerebri. Neurology 33(10):1386–1388PubMedCrossRef
39.
go back to reference Whiteley W, Al-Shahi R, Warlow CP, Zeidler M, Lueck CJ (2006) CSF opening pressure: reference interval and the effect of body mass index. Neurology 67(9):1690–1691PubMedCrossRef Whiteley W, Al-Shahi R, Warlow CP, Zeidler M, Lueck CJ (2006) CSF opening pressure: reference interval and the effect of body mass index. Neurology 67(9):1690–1691PubMedCrossRef
41.
go back to reference Avery RA, Shah SS, Licht DJ, Seiden JA, Huh JW, Boswinkel J, Ruppe MD, Chew A, Mistry RD, Liu GT (2010) Reference range for cerebrospinal fluid opening pressure in children. N Engl J Med 363(9):891–893. doi:10.1056/NEJMc1004957 PubMedCrossRef Avery RA, Shah SS, Licht DJ, Seiden JA, Huh JW, Boswinkel J, Ruppe MD, Chew A, Mistry RD, Liu GT (2010) Reference range for cerebrospinal fluid opening pressure in children. N Engl J Med 363(9):891–893. doi:10.​1056/​NEJMc1004957 PubMedCrossRef
42.
go back to reference Bono F, Lupo MR, Serra P, Cantafio C, Lucisano A, Lavano A, Fera F, Pardatscher K, Quattrone A (2002) Obesity does not induce abnormal CSF pressure in subjects with normal cerebral MR venography. Neurology 59(10):1641–1643PubMedCrossRef Bono F, Lupo MR, Serra P, Cantafio C, Lucisano A, Lavano A, Fera F, Pardatscher K, Quattrone A (2002) Obesity does not induce abnormal CSF pressure in subjects with normal cerebral MR venography. Neurology 59(10):1641–1643PubMedCrossRef
43.
go back to reference Dunn LT (2002) Raised intracranial pressure. J Neurol Neurosurg Psychiatry 73(Suppl 1):i23–i27PubMed Dunn LT (2002) Raised intracranial pressure. J Neurol Neurosurg Psychiatry 73(Suppl 1):i23–i27PubMed
44.
go back to reference Katzman R, Hussey F (1970) A simple constant-infusion manometric test for measurement of CSF absorption. I. Rationale and method. Neurology 20(6):534–544PubMedCrossRef Katzman R, Hussey F (1970) A simple constant-infusion manometric test for measurement of CSF absorption. I. Rationale and method. Neurology 20(6):534–544PubMedCrossRef
45.
go back to reference Eide PK, Brean A (2010) Cerebrospinal fluid pulse pressure amplitude during lumbar infusion in idiopathic normal pressure hydrocephalus can predict response to shunting. Cerebrospinal Fluid Res 7:5. doi:10.1186/1743-8454-7-5 PubMedCrossRef Eide PK, Brean A (2010) Cerebrospinal fluid pulse pressure amplitude during lumbar infusion in idiopathic normal pressure hydrocephalus can predict response to shunting. Cerebrospinal Fluid Res 7:5. doi:10.​1186/​1743-8454-7-5 PubMedCrossRef
46.
go back to reference Jonas JB, Harder B (2003) Ophthalmodynamometric estimation of cerebrospinal fluid pressure in pseudotumour cerebri. Br J Ophthalmol 87(3):361–362CrossRef Jonas JB, Harder B (2003) Ophthalmodynamometric estimation of cerebrospinal fluid pressure in pseudotumour cerebri. Br J Ophthalmol 87(3):361–362CrossRef
47.
go back to reference Poca MA, Sahuquillo J, Topczewski T, Lastra R, Font ML, Corral E (2006) Posture-induced changes in intracranial pressure: a comparative study in patients with and without a cerebrospinal fluid block at the craniovertebral junction. Neurosurgery 58(5):899–906 (discussion 899–906). doi:10.1227/01.NEU.0000209915.16235.6D Poca MA, Sahuquillo J, Topczewski T, Lastra R, Font ML, Corral E (2006) Posture-induced changes in intracranial pressure: a comparative study in patients with and without a cerebrospinal fluid block at the craniovertebral junction. Neurosurgery 58(5):899–906 (discussion 899–906). doi:10.​1227/​01.​NEU.​0000209915.​16235.​6D
48.
go back to reference Maira G, Anile C, Cioni B, Menini E, Mancini A, De Marinis L, Barbarino A (1984) Relationships between intracranial pressure and diurnal prolactin secretion in primary empty sella. Neuroendocrinology 38(2):102–107PubMedCrossRef Maira G, Anile C, Cioni B, Menini E, Mancini A, De Marinis L, Barbarino A (1984) Relationships between intracranial pressure and diurnal prolactin secretion in primary empty sella. Neuroendocrinology 38(2):102–107PubMedCrossRef
49.
go back to reference Cruickshank A, Auld P, Beetham R, Burrows G, Egner W, Holbrook I, Keir G, Lewis E, Patel D, Watson I, White P (2008) Revised national guidelines for analysis of cerebrospinal fluid for bilirubin in suspected subarachnoid haemorrhage. Ann Clin Biochem 45(Pt 3):238–244. doi:10.1258/acb.2008.007257 PubMedCrossRef Cruickshank A, Auld P, Beetham R, Burrows G, Egner W, Holbrook I, Keir G, Lewis E, Patel D, Watson I, White P (2008) Revised national guidelines for analysis of cerebrospinal fluid for bilirubin in suspected subarachnoid haemorrhage. Ann Clin Biochem 45(Pt 3):238–244. doi:10.​1258/​acb.​2008.​007257 PubMedCrossRef
56.
go back to reference Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M, Fujihara K, Havrdova E, Hutchinson M, Kappos L, Lublin FD, Montalban X, O’Connor P, Sandberg-Wollheim M, Thompson AJ, Waubant E, Weinshenker B, Wolinsky JS (2011) Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 69(2):292–302. doi:10.1002/ana.22366 PubMedCrossRef Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M, Fujihara K, Havrdova E, Hutchinson M, Kappos L, Lublin FD, Montalban X, O’Connor P, Sandberg-Wollheim M, Thompson AJ, Waubant E, Weinshenker B, Wolinsky JS (2011) Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 69(2):292–302. doi:10.​1002/​ana.​22366 PubMedCrossRef
58.
go back to reference Jedryka-Goral A, Zabek J, Wojciechowski B, Zaborski J, Chwalinska-Sadowska H, Czlonkowska A (2000) Evaluation of cerebrospinal fluid for the presense of anticardiolipin antibodies (aCL) in NP-SLE patients. Clin Rheumatol 19(4):306–310PubMedCrossRef Jedryka-Goral A, Zabek J, Wojciechowski B, Zaborski J, Chwalinska-Sadowska H, Czlonkowska A (2000) Evaluation of cerebrospinal fluid for the presense of anticardiolipin antibodies (aCL) in NP-SLE patients. Clin Rheumatol 19(4):306–310PubMedCrossRef
60.
go back to reference Scolding NJ, Jayne DR, Zajicek JP, Meyer PA, Wraight EP, Lockwood CM (1997) Cerebral vasculitis–recognition, diagnosis and management. Qjm 90(1):61–73PubMedCrossRef Scolding NJ, Jayne DR, Zajicek JP, Meyer PA, Wraight EP, Lockwood CM (1997) Cerebral vasculitis–recognition, diagnosis and management. Qjm 90(1):61–73PubMedCrossRef
62.
go back to reference Glantz MJ, Cole BF, Glantz LK, Cobb J, Mills P, Lekos A, Walters BC, Recht LD (1998) Cerebrospinal fluid cytology in patients with cancer: minimizing false-negative results. Cancer 82(4):733–739PubMedCrossRef Glantz MJ, Cole BF, Glantz LK, Cobb J, Mills P, Lekos A, Walters BC, Recht LD (1998) Cerebrospinal fluid cytology in patients with cancer: minimizing false-negative results. Cancer 82(4):733–739PubMedCrossRef
64.
go back to reference Porter MJ, Brookes GB, Zeman AZ, Keir G (1992) Use of protein electrophoresis in the diagnosis of cerebrospinal fluid rhinorrhoea. J Laryngol Otol 106(6):504–506PubMedCrossRef Porter MJ, Brookes GB, Zeman AZ, Keir G (1992) Use of protein electrophoresis in the diagnosis of cerebrospinal fluid rhinorrhoea. J Laryngol Otol 106(6):504–506PubMedCrossRef
65.
go back to reference Sinclair AJ, Viant MR, Ball AK, Burdon MA, Walker EA, Stewart PM, Rauz S, Young SP (2009) NMR-based metabolomic analysis of cerebrospinal fluid and serum in neurological diseases—a diagnostic tool? NMR Biomed 23(2):123–132. doi:10.1002/nbm.1428 Sinclair AJ, Viant MR, Ball AK, Burdon MA, Walker EA, Stewart PM, Rauz S, Young SP (2009) NMR-based metabolomic analysis of cerebrospinal fluid and serum in neurological diseases—a diagnostic tool? NMR Biomed 23(2):123–132. doi:10.​1002/​nbm.​1428
66.
go back to reference Metzger G, Singbartl G (1991) Spinal epidural hematoma following epidural anesthesia versus spontaneous spinal subdural hematoma. Two case reports. Acta Anaesthesiol Scand 35(2):105–107PubMedCrossRef Metzger G, Singbartl G (1991) Spinal epidural hematoma following epidural anesthesia versus spontaneous spinal subdural hematoma. Two case reports. Acta Anaesthesiol Scand 35(2):105–107PubMedCrossRef
67.
go back to reference (2004) The International Classification of Headache Disorders: 2nd edn. Cephalalgia 24 (Suppl 1):9–160 (2004) The International Classification of Headache Disorders: 2nd edn. Cephalalgia 24 (Suppl 1):9–160
69.
go back to reference Handler CE, Smith FR, Perkin GD, Rose FC (1982) Posture and lumbar puncture headache: a controlled trial in 50 patients. J R Soc Med 75(6):404–407PubMed Handler CE, Smith FR, Perkin GD, Rose FC (1982) Posture and lumbar puncture headache: a controlled trial in 50 patients. J R Soc Med 75(6):404–407PubMed
70.
go back to reference Dieterich M, Brandt T (1985) Is obligatory bed rest after lumbar puncture obsolete? Eur Arch Psychiatry Neurol Sci 235(2):71–75PubMedCrossRef Dieterich M, Brandt T (1985) Is obligatory bed rest after lumbar puncture obsolete? Eur Arch Psychiatry Neurol Sci 235(2):71–75PubMedCrossRef
71.
go back to reference Vilming ST, Schrader H, Monstad I (1988) Post-lumbar-puncture headache: the significance of body posture. A controlled study of 300 patients. Cephalalgia Int J Headache 8(2):75–78CrossRef Vilming ST, Schrader H, Monstad I (1988) Post-lumbar-puncture headache: the significance of body posture. A controlled study of 300 patients. Cephalalgia Int J Headache 8(2):75–78CrossRef
72.
go back to reference Machurot PY, Vergnion M, Fraipont V, Bonhomme V, Damas F (2010) Intracranial subdural hematoma following spinal anesthesia: case report and review of the literature. Acta Anaesthesiol Belg 61(2):63–66PubMed Machurot PY, Vergnion M, Fraipont V, Bonhomme V, Damas F (2010) Intracranial subdural hematoma following spinal anesthesia: case report and review of the literature. Acta Anaesthesiol Belg 61(2):63–66PubMed
73.
go back to reference Amorim JA, Remigio DS, Damazio Filho O, de Barros MA, Carvalho VN, Valenca MM (2010) Intracranial subdural hematoma post-spinal anesthesia: report of two cases and review of 33 cases in the literature. Rev Bras Anestesiol 60(6):620–629PubMedCrossRef Amorim JA, Remigio DS, Damazio Filho O, de Barros MA, Carvalho VN, Valenca MM (2010) Intracranial subdural hematoma post-spinal anesthesia: report of two cases and review of 33 cases in the literature. Rev Bras Anestesiol 60(6):620–629PubMedCrossRef
75.
go back to reference Strupp M, Brandt T, Muller A (1998) Incidence of post-lumbar puncture syndrome reduced by reinserting the stylet: a randomized prospective study of 600 patients. J Neurol 245(9):589–592PubMedCrossRef Strupp M, Brandt T, Muller A (1998) Incidence of post-lumbar puncture syndrome reduced by reinserting the stylet: a randomized prospective study of 600 patients. J Neurol 245(9):589–592PubMedCrossRef
76.
go back to reference Dieterich M, Brandt T (1988) Incidence of post-lumbar puncture headache is independent of daily fluid intake. Eur Arch Psychiatry Neurol Sci 237(4):194–196PubMedCrossRef Dieterich M, Brandt T (1988) Incidence of post-lumbar puncture headache is independent of daily fluid intake. Eur Arch Psychiatry Neurol Sci 237(4):194–196PubMedCrossRef
77.
go back to reference Camann WR, Murray RS, Mushlin PS, Lambert DH (1990) Effects of oral caffeine on postdural puncture headache. A double-blind, placebo-controlled trial. Anesth Analg 70(2):181–184PubMedCrossRef Camann WR, Murray RS, Mushlin PS, Lambert DH (1990) Effects of oral caffeine on postdural puncture headache. A double-blind, placebo-controlled trial. Anesth Analg 70(2):181–184PubMedCrossRef
78.
81.
go back to reference Abouleish E, Vega S, Blendinger I, Tio TO (1975) Long-term follow-up of epidural blood patch. Anesth Analg 54(4):459–463PubMed Abouleish E, Vega S, Blendinger I, Tio TO (1975) Long-term follow-up of epidural blood patch. Anesth Analg 54(4):459–463PubMed
82.
84.
go back to reference Solana E, Poca MA, Sahuquillo J, Benejam B, Junque C, Dronavalli M (2010) Cognitive and motor improvement after retesting in normal-pressure hydrocephalus: a real change or merely a learning effect? J Neurosurg 112(2):399–409. doi:10.3171/2009.4.JNS081664 PubMedCrossRef Solana E, Poca MA, Sahuquillo J, Benejam B, Junque C, Dronavalli M (2010) Cognitive and motor improvement after retesting in normal-pressure hydrocephalus: a real change or merely a learning effect? J Neurosurg 112(2):399–409. doi:10.​3171/​2009.​4.​JNS081664 PubMedCrossRef
85.
88.
go back to reference Zetterberg H, Tullhog K, Hansson O, Minthon L, Londos E, Blennow K (2010) Low incidence of post-lumbar puncture headache in 1,089 consecutive memory clinic patients. Eur Neurol 63(6):326–330. doi:10.1159/000311703 PubMedCrossRef Zetterberg H, Tullhog K, Hansson O, Minthon L, Londos E, Blennow K (2010) Low incidence of post-lumbar puncture headache in 1,089 consecutive memory clinic patients. Eur Neurol 63(6):326–330. doi:10.​1159/​000311703 PubMedCrossRef
89.
go back to reference Vallejo MC, Mandell GL, Sabo DP, Ramanathan S (2000) Postdural puncture headache: a randomized comparison of five spinal needles in obstetric patients. Anesth Analg 91(4):916–920PubMedCrossRef Vallejo MC, Mandell GL, Sabo DP, Ramanathan S (2000) Postdural puncture headache: a randomized comparison of five spinal needles in obstetric patients. Anesth Analg 91(4):916–920PubMedCrossRef
90.
go back to reference Strupp M, Schueler O, Straube A, Von Stuckrad-Barre S, Brandt T (2001) “Atraumatic” Sprotte needle reduces the incidence of post-lumbar puncture headaches. Neurology 57(12):2310–2312PubMedCrossRef Strupp M, Schueler O, Straube A, Von Stuckrad-Barre S, Brandt T (2001) “Atraumatic” Sprotte needle reduces the incidence of post-lumbar puncture headaches. Neurology 57(12):2310–2312PubMedCrossRef
92.
go back to reference Kleyweg RP, Hertzberger LI, Carbaat PA (1998) Significant reduction in post-lumbar puncture headache using an atraumatic needle. A double-blind, controlled clinical trial. Cephalalgia Int J Headache 18(9):635–637 (discussion 591)CrossRef Kleyweg RP, Hertzberger LI, Carbaat PA (1998) Significant reduction in post-lumbar puncture headache using an atraumatic needle. A double-blind, controlled clinical trial. Cephalalgia Int J Headache 18(9):635–637 (discussion 591)CrossRef
95.
go back to reference Clarke C, Howard R, Rossor M, Shorvon S (2009) Neurology: a queen square textbook, 1st edn. Wiley-Blackwell, UK Clarke C, Howard R, Rossor M, Shorvon S (2009) Neurology: a queen square textbook, 1st edn. Wiley-Blackwell, UK
Metadata
Title
Cerebrospinal fluid and lumbar puncture: a practical review
Authors
Ben L. C. Wright
James T. F. Lai
Alexandra J. Sinclair
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Journal of Neurology / Issue 8/2012
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-012-6413-x

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