Sponsored Advertisement

Wednesday, October 24, 2007

Lumbar Puncture Video

Researched and Presented by Anthony
Description: Full Detailed video on how to do a lumbar puncture.
Note: You need the latest Flash Player in order to view the video. Download it here.

If the video fails to load, please see alternate link:

A lumbar puncture (also called a spinal tap) is a procedure to collect and look at the fluid (cerebrospinal fluid, or CSF) surrounding the brain and spinal cord.

During a lumbar puncture, a needle is carefully inserted into the spinal canal low in the back (lumbar area). Samples of CSF are collected. The samples are studied for color, blood cell counts, protein, glucose, and other substances. Some of the sample may be put into a special culture cup to see if any infection, such as bacteria or fungi, grows. The pressure of the CSF is also measured during the procedure.

This is done to:

· Find a cause for symptoms possibly caused by an infection (such as meningitis), inflammation, cancer, or bleeding in the area around the brain or spinal cord (such as subarachnoid hemorrhage).
· Diagnose certain diseases of the brain and spinal cord, such as multiple sclerosis or Guillain-BarrĂ© syndrome.
· Measure the pressure of cerebrospinal fluid (CSF) in the space surrounding the spinal cord. If the pressure is high, it may be causing certain symptoms.

A lumbar puncture may also be done to:

· Put anesthetics or medicines into the CSF. Medicines may be injected to treat leukemia and other types of cancer of the central nervous system.
· Put a dye in the CSF that makes the spinal cord and fluid clearer on X-ray pictures (myelogram). This may be done to see whether a disc or a cancer is bulging into the spinal canal.

In rare cases, a lumbar puncture may be used to lower the pressure in the brain caused by too much CSF.

Before the lumbar puncture, take note of the ff:

· About any medicines taken by the patient. Some medicines may contraindicate with the procedure.
· Allergic reactions to any medicines, such as those used to numb the skin (anesthetics).
· Note if patient had bleeding problems or had taken blood-thinners, such as aspirin or warfarin (Coumadin).
· Patient might be pregnant.
· Patient had taken any herbal remedies. Some of these remedies may thin the blood.

Ask the patient to empty his/her bladder before the procedure.

A legal consent must be secured.

How It Is Done

A lumbar puncture may be done in the doctor's office, in an emergency room, or at bedside in the hospital. It may also be done in the radiology department if fluoroscopy is used.

Tell the patient to lie on a bed on his/her side with the knees drawn up toward his/her chest. Or he/she may sit on the edge of a chair or bed and lean forward over a table with his/her head and chest bent toward his/her knees. These positions help widen the spaces between the bones of the lower spine so that the needle can be inserted more easily. If fluoroscopy is used, tell patient to lie on his/her stomach so the fluoroscopy machine can take pictures of the spine during the procedure.

The doctor will mark the patient's lower back (lumbar area) with a pen where the puncture will occur. The area is cleaned with a special soap and draped with sterile towels. A numbing medicine (local anesthetic) is put in the skin.

Then a long, thin needle is put in the spinal canal. When the needle is in place, the solid central core of the needle (stylet) is removed. If the needle is in the right spot in the spinal canal, a small amount of cerebrospinal fluid (CSF) will drip from the end of the needle. If not, the stylet will be put back in and the needle will be moved in a little farther or at a different angle to get to the fluid. The doctor may need to move to another area of the spine if it is hard to get to the spinal fluid.

When the needle is in the spinal canal, a device called a manometer is hooked to the needle to measure the pressure of the CSF. The patient may be asked to straighten his/her legs while he/she is lying down. The doctor takes the pressure reading, called the opening pressure, and checks whether the fluid is clear, cloudy, or bloody. Several small samples of fluid are collected and sent to the lab for study.

A final pressure reading, called the closing pressure, may be taken after the fluid samples are done. The needle is taken out and the puncture site is cleaned and bandaged.

The entire procedure takes about 30 minutes.

To lower the chance of getting a headache following a lumbar puncture, the patient may be told to lie flat in bed or with his/her head slightly raised for 1 to 4 hours. Since the brain makes new CSF all the time and replaces it 2 to 3 times a day, the small amount of fluid that is removed will be quickly replaced. The patient may be told to drink extra fluids after the procedure to help prevent or to reduce the severity of a headache.

How It Feels?

Some people find it uncomfortable to lie curled up on their side. The soap may feel cold on their back. They will probably feel a brief pinch or sting when the numbing medicine is given. They may feel a brief pain when the spinal needle is inserted or repositioned.

During the procedure, the needle may touch one of their spinal nerves and cause a tingling feeling, like a light electrical shock, running down one of their legs. The needle will not touch or damage the spinal cord.

Some people (10% to 25%) develop a headache after having a lumbar puncture. Of those who do get headaches, only about half report that they are severe. These headaches last 24 to 48 hours and go away on their own. Pain medicine does not help control the headache, but lying flat in bed for several hours after the procedure may help the headache.

Patient may feel tired and have a mild backache the day after the procedure. Some people have trouble sleeping for 1 to 2 days.


A lumbar puncture is generally a safe procedure. In some cases, a leak of cerebrospinal fluid (CSF) may develop after a lumbar puncture. Symptoms of this problem are a headache that does not go away after 1 to 2 days. A CSF leak can be treated with a blood "patch," in which the person's own blood is injected into the area where the leak is occurring in order to seal the leak.

About 1 in 1,000 people who have a lumbar puncture have a minor nerve injury. This heals on its own with time. There is also a small chance of infection of the CSF (meningitis), bleeding inside the spinal canal, or damage to the cartilage between the vertebrae.

People who have bleeding problems and those who are taking blood-thinning medicine (such as warfarin or heparin) have a higher chance of bleeding after the procedure. A lumbar puncture may not be done unless it is needed for a life-threatening illness.

A lumbar puncture may cause serious problems for people who have high pressure in the brain caused by a tumor, a pocket of infection in the brain (abscess), or major bleeding inside the brain. The doctor will check the patients nervous system, spinal cord and brain before doing a lumbar puncture. In some cases, a computed tomography (CT) scan or magnetic resonance imaging (MRI) scan may be done before the lumbar puncture to know that it is safe to do the puncture.

Watch out for:

· Chills or a fever.
· A stiff neck. This may be a sign of a developing infection.
· Any drainage or bleeding from the puncture site.
· A severe headache.
· Any numbness or loss of strength below the puncture site.

If you have notice any of the signs, inform the doctor immediately.


Anonymous said...

That's a nice, succint description of a lumbar puncture. You can view more detail at www.lumbarpuncture.net - a site devoted to LP. There are videos, and articles, including some descriptions of LP from patients. www.iihsupport.org (nothing to do with me - just a well run forum)also writes about experiences patients have had of an LP - these are people with recurrent idiopathic intracranial hypertension and often have many many LPs during the course of thier illness. I'll link to blog if you don't mind.

Anjela's Day said...

This is a great description of a Lumbar Puncture...Thanks for posting....AW

Anonymous said...

you cand say me how much cost a lumbar puncture please?


Eric Deeson B'ham UK said...

This website, recommended by Raeburn 15 May 2008, doesn't exist (or noi longer exists): www.lumbarpuncture.net

A pity - it sounds very valuable!

Eric (potential recipient of LP for research)

Richard William said...

Am Richard, I am here to testify about a great herbalist  man who cured my wife of breast cancer. His name is Dr Imoloa. My wife went through this pain for 3 years, i almost spent all i had, until i saw some testimonies online on how Dr. Imoloa cure them from their diseases, immediately i contacted him through. then he told me the necessary things to do before he will send  the herbal medicine. Wish he did through DHL courier service, And he instructed us on how to apply or drink the medicine for good two weeks. and to greatest surprise before the upper third week my wife was relief from all the pains, Believe me, that was how my wife was cured from breast cancer by this great man. He also have powerful herbal medicine to cure diseases like: Alzheimer's disease, parkinson's disease, vaginal cancer, epilepsy Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumor, Malignant, Bruxism, Bulimia, Cervical Disc Disease, Cardiovascular Disease, Neoplasms , chronic respiratory disease, mental and behavioral disorder, Cystic Fibrosis, Hypertension, Diabetes, Asthma, Autoimmune inflammatory media arthritis ed. chronic kidney disease, inflammatory joint disease, impotence, alcohol spectrum feta, dysthymic disorder, eczema, tuberculosis, chronic fatigue syndrome, constipation, inflammatory bowel disease, lupus disease, mouth ulcer, mouth cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, HIV / AIDS, Huntington's disease, back acne, chronic kidney failure, addison's disease, chronic pain, Crohn's pain, cystic fibrosis, fibromyalgia, inflammatory Bowel disease, fungal nail disease, Lyme disease, Celia disease, Lymphoma, Major depression, Malignant melanoma, Mania, Melorheostosis, Meniere's disease, Mucopolysaccharidosis, Multiple sclerosis, Muscular dystrophy, Rheumatoid arthritis. You can reach him Email Via drimolaherbalmademedicine@gmail.com / whatsapp +2347081986098    Website/ www.drimolaherbalmademedicine.wordpress.com

Clara david said...

WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to search for cancer cure so that was how I found a lady called Peter Lizzy. She was testifying to the world about the goodness of a herbal man who has the roots and herbs to cure all kinds of disease and the herbal man's email was there. So I decided to contact the herbal man @herbalist_dr_sakura for my younger sister's help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or WhatsApp him +2348110114739 you can follow him up on Instagram @herbalist_dr_sakura visit his website https://drsakurahealthclinic.wixsite.com/website

https://drsakuraspellalter.wordpress.com/ for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com