Guest guest Posted May 17, 2003 Report Share Posted May 17, 2003 Good Morning everyone, I wanted to repost this one I did awhile back and wanted to also post one of the responses I did receive.This is into reference of the post #84427 saying she had heared no spinal taps Tarkeshia > > > Someone had asked me how safe it is to have a spinal tap after a > decompression. They had said that they had received several mails > saying not that they shouldnt alow it to be done. I know they are > not the only ones been told this cause I have seen it posted about > no spinals. I was wondering what is a reason for this statement? > What facts are there to back this up? I really need to know > this.>> > . \ > There are many, however I see the problem as " having a poorly > performed " lumbar puncture- not having the lumbar puncture itself. > > Performed properly, the lumbar puncture shouldn't hurt anything... > but I wouldn't take my chances as far as having just anyone perform > it. > Chip > ----------------------------------- > Ann Neurol 1993 Apr;33(4):418-21 > > Oscillopsia and horizontal nystagmus with accelerating slow phases > following lumbar puncture in the Arnold-Chiari malformation. > Barton JJ, Sharpe JA. > Toronto Hospital Neurological Center, Ontario, Canada. > > Oscillopsia and nystagmus began in a woman 2 weeks after an > inadvertent lumbar puncture during anesthesia for childbirth. > Examination showed horizontal-torsional jerk nystagmus in all > positions of gaze. Magnetic-search-coil oculography revealed > accelerating slow phases, with an increase in nystagmus amplitude in > darkness. Magnetic resonance images showed type 1 Arnold-Chiari > malformation. > > Three months after occipital decompressive surgery, nystagmus had > almost disappeared. Accelerating slow phases should not be considered > diagnostic of congenital nystagmus, especially with an onset of > oscillopsia in adult life; imaging should be considered to exclude > treatable hindbrain anomalies. *Lumbar puncture* in patients with the > *Arnold-Chiari malformation* may *accentuate* craniospinal pressure > dissociation and *precipitate neurological signs*. > ----------------------- > Fatal tonsillar herniation in pseudotumor cerebri. > Neurology 1991 Jul;41(7):1142-4 > Sullivan HC. > Department of Neurology, Case Western Reserve University Hospital, > Cleveland, OH. > > A 27-year-old woman with pseudotumor cerebri died after lumbar > puncture secondary to tonsillar herniation. Five years earlier she > had a respiratory arrest after lumbar puncture. MRI and autopsy ruled > out the presence of an Arnold-Chiari malformation or a mass lesion of > the posterior fossa, but midsagittal views suggested the presence of > low-lying cerebellar tonsils. > > --------------------- > Neurosurgery 1993 Feb;32(2):306-9; discussion 309 > " Acquired " Chiari I malformation after multiple lumbar punctures: > case report. > Sathi S, Stieg PE. > Neurosurgical Service, Brigham and Women's Hospital, Children's > Hospital, Dana-Farber Cancer Institute, Boston, Massachusetts. > > The authors present the history of a patient with a Chiari I > malformation " acquired " after multiple traumatic lumbar punctures. > The genesis of tonsillar descent is believed to be related to > persistent leakage of cerebrospinal fluid secondary to the multiple > traumatic lumbar punctures. The topic of acquired Chiari I > malformations and complications of lumbar puncture is reviewed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2004 Report Share Posted July 12, 2004 First of all: there is some risk involved, but nowadays it is really minimal. Spinal taps used to be pretty risky procedures not so long ago. I think the mentality stayed. I had one done for my brain spots over 3 years ago. I was terrified, and frankly, I'm not one to get scared easily. I had two kidney biopsies done and was told that they are the riskiest of such procedures, still, I was more afraid when I went for my spinal tap.Even getting amnio wasn't as scary to me. Spinal tap is a pretty simple procedure, at least for the patient. You go in, they take some fluid, you stay for a few hours while they monitor you, you go home. NOW, they say you can get a headache within the next couple of days or so. The brain is working harder to produce the fluid they took. I get headaches a lot and though, no big deal. Was I wrong. The procedure is nothing compared to the truck that ran me over the next day. That was one hell of a headache. I was just happy my neighbor was there to help me with my then 4 month old baby. I couldn't even get up it was so bad. So, you're allowed to be scared. After all, they are sticking a long needle in your body. Mojo Spinal tap Question I don’t blame you for being afraid Nikki. I have a big fear of anybody messing with my brain or spinal cord!!! From: Nikki Stover Sent: Friday, July 09, 2004 8:57 PMTo: LUPIES Subject: Meg: hospital or not? Spinal tap Question Please forgive this question! I have seen severalpeople refer to spinal taps. Why do they do them? Iam TERRIFIED of spinal taps. I have no idea why otherthat is ridiculous for a grown woman to actlike such a baby but I just have this fear....Thanks!Nikki"The LUPIES Store" Come check out our store...http://www.cafepress.com/thelupies"The LUPIES Web Page"http://www.itzarion.com/lupusgroup.html"The LUPIES online photo albums!" Check out what your fellow Lupies look like...http://www.picturetrail.com/lupies Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2004 Report Share Posted July 12, 2004 First of all: there is some risk involved, but nowadays it is really minimal. Spinal taps used to be pretty risky procedures not so long ago. I think the mentality stayed. I had one done for my brain spots over 3 years ago. I was terrified, and frankly, I'm not one to get scared easily. I had two kidney biopsies done and was told that they are the riskiest of such procedures, still, I was more afraid when I went for my spinal tap.Even getting amnio wasn't as scary to me. Spinal tap is a pretty simple procedure, at least for the patient. You go in, they take some fluid, you stay for a few hours while they monitor you, you go home. NOW, they say you can get a headache within the next couple of days or so. The brain is working harder to produce the fluid they took. I get headaches a lot and though, no big deal. Was I wrong. The procedure is nothing compared to the truck that ran me over the next day. That was one hell of a headache. I was just happy my neighbor was there to help me with my then 4 month old baby. I couldn't even get up it was so bad. So, you're allowed to be scared. After all, they are sticking a long needle in your body. Mojo Spinal tap Question I don’t blame you for being afraid Nikki. I have a big fear of anybody messing with my brain or spinal cord!!! From: Nikki Stover Sent: Friday, July 09, 2004 8:57 PMTo: LUPIES Subject: Meg: hospital or not? Spinal tap Question Please forgive this question! I have seen severalpeople refer to spinal taps. Why do they do them? Iam TERRIFIED of spinal taps. I have no idea why otherthat is ridiculous for a grown woman to actlike such a baby but I just have this fear....Thanks!Nikki"The LUPIES Store" Come check out our store...http://www.cafepress.com/thelupies"The LUPIES Web Page"http://www.itzarion.com/lupusgroup.html"The LUPIES online photo albums!" Check out what your fellow Lupies look like...http://www.picturetrail.com/lupies Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2004 Report Share Posted July 12, 2004 First of all: there is some risk involved, but nowadays it is really minimal. Spinal taps used to be pretty risky procedures not so long ago. I think the mentality stayed. I had one done for my brain spots over 3 years ago. I was terrified, and frankly, I'm not one to get scared easily. I had two kidney biopsies done and was told that they are the riskiest of such procedures, still, I was more afraid when I went for my spinal tap.Even getting amnio wasn't as scary to me. Spinal tap is a pretty simple procedure, at least for the patient. You go in, they take some fluid, you stay for a few hours while they monitor you, you go home. NOW, they say you can get a headache within the next couple of days or so. The brain is working harder to produce the fluid they took. I get headaches a lot and though, no big deal. Was I wrong. The procedure is nothing compared to the truck that ran me over the next day. That was one hell of a headache. I was just happy my neighbor was there to help me with my then 4 month old baby. I couldn't even get up it was so bad. So, you're allowed to be scared. After all, they are sticking a long needle in your body. Mojo Spinal tap Question I don’t blame you for being afraid Nikki. I have a big fear of anybody messing with my brain or spinal cord!!! From: Nikki Stover Sent: Friday, July 09, 2004 8:57 PMTo: LUPIES Subject: Meg: hospital or not? Spinal tap Question Please forgive this question! I have seen severalpeople refer to spinal taps. Why do they do them? Iam TERRIFIED of spinal taps. I have no idea why otherthat is ridiculous for a grown woman to actlike such a baby but I just have this fear....Thanks!Nikki"The LUPIES Store" Come check out our store...http://www.cafepress.com/thelupies"The LUPIES Web Page"http://www.itzarion.com/lupusgroup.html"The LUPIES online photo albums!" Check out what your fellow Lupies look like...http://www.picturetrail.com/lupies Quote Link to comment Share on other sites More sharing options...
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