ADVERTISEMENT

Q. I had a lumbar puncture to collect some cerebrospinal fluid. When will I recover?

Answered by
Dr. Zubayeralam
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Jul 25, 2021 and last reviewed on: Aug 19, 2021

Hi doctor,

I had a lumbar puncture done this morning to find an opening that was 12.2 and to collect specimens with spinal fluid. The doctor told me to sit upright. She did the preparation work. Then she inserted the first needle to freeze the lumbar region. Then she inserted a second needle. I began to feel nauseous and sweated. I thought that I would pass away. Then they laid me down on the side. Then she proceeded further. It took around twenty minutes to collect the specimen. She told me that it was slow and coming in drips. She used four vials. Is this normal? Do you think that I will become fine soon? I am so upset.

#

Hi,

Welcome to icliniq.com.

Thank you for the query. I can understand your concern. According to your statement, you had a lumbar puncture done this morning in the opening which was 12.2. I think that you want to tell about the opening pressure of CSF (cerebrospinal fluid). The initial pressure of CSF is 70-180 mm. The sufferings that you got during your lumbar puncture procedure are collectively known as lumbar puncture-induced side effects or sufferings. Headache is the most common side effect or complication of lumbar puncture and up to 25% of patients will get headaches. The other side effects are feeling unwell or nausea, sweating, fainting, hemorrhage, and infections. I think that your doctor's procedure of lumbar puncture was correct and the whole procedure will take some time. The procedure was right. Now, it is important to know the results of the lumbar puncture which was done. Take care. In case of any other query ask me.

Thank you doctor,

I have attached the results. Can you tell me what do they mean? My red blood count remains high.

#

Hi,

Welcome back to icliniq.com.

Thank you for the query. According to your CSF study reports, WBC and differential counts of WBC are normal, the appearance remains clear and colorless, and your value of RBC is 1.29 million cells/ml. But Xanthochromia is absent. Red blood cells (RBC) are not present normally in CSF. The presence of RBC may indicate a traumatic tap that can cause blood leakage into CSF during the procedure of collection or indicates bleeding into CSF due to SAH (subarachnoid hemorrhage).

SAH can be differentiated from the traumatic lumbar puncture by comparing RBC counts of the first and last CSF tubes collected during CSF collection procedure. In a traumatic tap or traumatic lumbar puncture, the RBC count of the last tube will be lower but on the other hand, in SAH, the RBC remains constantly elevated.

There is no other study found that suggests the presence of a lower limit of RBC count in CSF indicates a positive tap. For this reason, the most reliable method of differentiating SAH from a traumatic tap is the presence of Xanthochromia that is caused by the production of RBCs and the release of heme pigments. The presence of xanthochromia in the CSF indicates SAH rather than traumatic lumbar tap. As Xanthochromia is absent in your CSF, so the presence of RBC in the CSF may result from a traumatic tap during the procedure of CSF collection. So, do not be worried. Take care. Let me know if I can assist you further.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Is headache a side-effect of Nevanac ophthalmic suspension?

.. (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a ...   Read full

How can headaches and back pain be treated in a young kid with epilepsy?

.. this spinal tap been done? Are headaches and back pain post spinal tap? Lumbar puncture or spinal tap causes a headache and back pain in almost all kids. If the spinal tap was done due to a headache then it is to rule out meningitis. You ...   Read full

Worst Headache Ever? It Could be Brain Aneurysm!!

.. is a potentially fatal condition that needs emergency care. This article helps you understand this condition and educates you regarding your treatment options .. ...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


My triglycerides level was 207 mg/dL. Is it necessary to take medicine?
Hi doctor, Recently, I got a lipid profile done, and the triglycerides level was 207 mg/dL, apart from that everything ...  Read more»
My lipid test report shows quite high values. Kindly advice.
Hello doctor, I am 35-years-old. My cholesterol level is 222, triglycerides 87, HDL (cholesterol) 60, LDL (cholesterol)...  Read more»
Triglycerides - Causes, Medications, Symptoms, Risk Factors, and Treatment
Triglycerides are derivatives of glycerol and fatty acids. They might sound simple but the causes and symptoms contribut...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.