Initial opening pressures should be performed on all Lumbar puncture is also used as a therapeutic and diagnostic tool in patients with idiopathic intracranial hypertension (IIH, or pseudotumor cerebri). However, this topic has become controversialĪnd will be discussed in more detail below. Lumbar puncture also has historically been used in the diagnosis of subarachnoid hemorrhage (SAH) as the next diagnostic step in patients whose initial CT head is negative. Lumbar puncture is a common emergency department procedure that is used for both diagnostic and therapeutic purposes. As a diagnostic tool, lumbar puncture is used to detect CNS infections, CNS malignancies, and inflammatory processes, such as Multiple
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