Lumbar Puncture

Lumbar puncture, otherwise called spinal tap, is a procedure where a needle is inserted between the lumbar vertebrae to collect the cerebrospinal fluid (CSF). CSF is collected to diagnose infections and disorders of the central nervous system (CNS). Sometimes, it is also used to inject anesthesia or medicines.

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Why is there discomfort in right hip joint and knee after lumbar puncture?

Query: Hello doctor, My son is 17 years old. He has delayed learning. I am at the hospital for the last two weeks and they do not have an answer as to what is wrong with my son. MRI will be done on Monday. My son has IOP and ICP and due to his recent laser diode for glaucoma and LP, the result showed th...  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. I understand your concern and would explain that his symptoms could be related to joint pain or musculoskeletal pain. For this reason, I would recommend performing some tests to investigate possible causes. 1. Complete blood count, PCR (polymerase chain reaction),...  Read Full »

What causes back pain once the position is changed from sitting?

Query: Hi doctor, My mother is 65 years old (height 4'11", weight 64 kg), and has been doing all the household chores since she was 20 years. She has no problems except diabetes. Since one week, she started getting lower back pain. The symptoms are if she is in a sleeping position and gets up and starts w...  Read Full »


Dr. Atul Prakash

Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist

Answer: Hello, Welcome to icliniq.com. At 65, your mother seems to be suffering from spondylosis which is nothing but wear and tear of the spine. This is made worse after any period of rest and sitting usually makes it worse. Is there any radiation of pain to the leg? I will recommend that you get an X-ra...  Read Full »

I have a pain near the tailbone after a blood patch was performed. Please help.

Query: Hello doctor, I had a spinal tap done two weeks ago, and a blood patch three days later. The blood patch worked but, I still get headaches and do not feel well at all. I have a swollen bump on my tailbone that hurts. I saw my doctor who did not seem too sure about it but, said there did not seem to ...  Read Full »


Dr. Vansh Priya

Anesthesiologist

Answer: Hello,Welcome to icliniq.com.You most probably experienced a post dural puncture headache (PDPH), for which you were administered an epidural blood patch.Your signs and symptoms are more suggestive of a meningeal irritation due to some infection. I would suggest you consult a neurophysician for the...  Read Full »

Why do I have an increased signal intensity within the cervical cord?

Query: Hello doctor,I have increased signal intensity within the cervical cord at C2 and C4 levels. The cervical discs have degenerated with some loss of normal disc height and hydration. What does this mean? I also have multiple sclerosis. My current medications are Gilenya, Amitriptyline, Omeprazole, and...  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. I would like to know if you have performed any brain MRI (magnetic resonance imaging) study. These lesions in the cervical spine could be related to many possible causes. They could be MS (multiple sclerosis), cervical myelopathy, myelitis, or neuro infections, etc...  Read Full »

My mother has NPH. Should she go for CSF drainage or shunt surgery?

Query: Hello doctor, My 76 year old mother was recently diagnosed with normal pressure hydrocephalus. She is having trouble walking. She can walk only three to four steps at a time. She has been having this difficulty since a month now. She is currently not on any medication for this or for any other issu...  Read Full »


Dr. Chandan Mohanty

Neurologist, Neuro Surgeon, Spine Surgeon, Spine Health Specialist

Answer: Hello, Welcome to icliniq.com. I am sorry to hear about your mother. I have seen her MRI reports (attachment removed to protect patient identity). Going for lumbar puncture (LP) drainage, and then checking for a clinical improvement, before a shunt, has a better chance of determining the overall suc...  Read Full »

Why did the doctors ask for my signature during LP procedure?

Query: Hi doctor,My question regarding the LP test of the backbone. Why the doctors want my signature for this test? Is there any major risk or side effect in this procedure? The test showed 5 x 5 rings in the brain and rest everything is normal. There is no previous medical history other than a headache,...  Read Full »


Dr. Hitesh Kumar

Neurologist

Answer: Hi, Welcome to icliniq.com. Lumbar puncture is done to collect CSF (cerebrospinal fluid, the fluid surrounding the whole brain). Possibly they will send that fluid for tests to search the reason for rings in the brain. Ring enhancing lesions in the brain can be due to many reasons like tuberculosi...  Read Full »

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