This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Take the CME quiz:
 Vol. 12 No. 6, December 2004
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Pate, B. M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Pate, B. M.
Related Collections
Right arrow Hospital Care

AAP Grand Rounds 12:73-74 (2004)
© 2004 American Academy of Pediatrics

HOSPITAL CARE

Morbidity Associated with Lumbar Puncture in Children and Adolescents

Source: Ebinger F, Kosel C, Pietz J, et al. Headache and backache after lumbar puncture in children and adolescents: a prospective study. Pediatrics. 2004;113:1588–1592.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Researchers from the Children’s 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, . . . [Full Text of this Article]

Brian M. Pate, MD, FAAP
Hospitalist Services, Children’s Mercy Hospital, Kansas City, MO