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AAP Grand Rounds 12:73-74 (2004)
© 2004 American Academy of Pediatrics
| The first 20% of the full text of this article appears below. |
Researchers from the Childrens Hospital of the University of Heidelberg, Germany, enrolled 112 children between the ages of 2 and 16 years who underwent diagnostic lumbar puncture in a prospective study designed to describe the frequency and nature of postpuncture complaints. Ninety-four percent of the punctures in the 61 female and 51 male patients were performed in the sitting position; 22 G needles with cutting bevels were used in 68% of the procedures and 20 G needles were used in 30%. In 39% of the punctures the bevel was directed laterally and in the remaining procedures the bevel was directed cephalad. Nineteen patients (13%) underwent multiple puncture attempts. The volume of aspirated cerebrospinal fluid (CSF) ranged from 1-20cc (median: 6cc). CSF pleocytosis (>5cells/ul) was found in 30 patients (27%) and corresponding diagnoses were facial palsy caused by borreliosis,
| Hospitalist Services, Childrens Mercy Hospital, Kansas City, MO |
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