البزل الشوكي (Lumbar Puncture)

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Lumbar Puncture

 

(Medical procedures and examinations)

This topic will help you learn more about the lumbar puncture and how to prepare for it.

What is a lumbar puncture?

A lumbar puncture, also called a spinal tap, is a procedure performed by inserting a needle into the lower back to obtain a sample of cerebrospinal fluid (CSF), which surrounds the spinal cord and brain.

  • When is a lumbar puncture performed?
  • A doctor may perform a lumbar puncture to test for the following:
  • Bleeding in the brain (intracranial hemorrhage).
  • Dementia.
  • Leukemia or othertypes of cancer.
  • Meningitis and encephalitis (infections of the brain and spinal cord).
  • Multiple sclerosis or other autoimmune disorders.
  • Myelitis (inflammation of the spinal cord).
  • Excess cerebrospinal fluid.
  • Administration of regional anesthesia, such as epidural anesthesia, to prevent pain in the lower part of the body.
  • Injection of dye for diagnostic X-ray testing (myelography).

Injection of cancer medications or muscle relaxants.

Relief of intracranial (head) pressure.

  • How do you prepare for a lumbar puncture?
  • Your doctor may ask you to have a blood test before the procedure to make sure your blood clots normally. You should follow your doctor’s instructions on what to do before the procedure. In general:
  • Inform your doctor if you are allergic to povidone-iodine (antiseptic) or procaine (anesthetic).
  • Your doctor may ask you to temporarily stop taking any medication that could increase the risk of bleeding during the procedure.

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