Case Report

Increased Intracranial Pressure and the Misuse of Lumbar Puncture

Authors: ITALO RINALDI MD, WILLIAM F. PEACH JR. MD

Abstract

The manipulation of the structures of the central nervous system has an implied hazard, whether it be an arteriogram, pneumoencephalogram, ventriculogram or spinal puncture. Under given circumstances any one of these may be accompanied by complications or death. The authors point to the hazards of the misguided use of the lumbar puncture. A more basic professional shortcoming is revealed in inadequate history taking and slovenly physical examination topped by a lack of thoughtful evaluation of the findings exposed—basic to the employment of all tests and reduction of today's “hazards of hospitalization.”

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References