Lumbar puncture (spinal tap)

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Definition

By Mayo Clinic staff

Lumbar puncture (spinal tap) is performed in your lower back, in the lumbar region. During lumbar puncture, a needle is inserted between two lumbar bones (vertebrae) to remove a sample of cerebrospinal fluid — the fluid that surrounds your brain and spinal cord to protect them from injury.

A lumbar puncture can help diagnose serious infections, such as meningitis; disorders of the central nervous system, such as Guillain-Barre syndrome and multiple sclerosis; or cancers of the brain or spinal cord. Sometimes doctors use lumbar puncture to inject anesthetic medications or chemotherapy drugs into the cerebrospinal fluid.

References
  1. Johnson KS, et al. Lumbar puncture: Technique; indications; contraindications; and complications in adults. http://www.uptodate.com/home/index.html. Accessed Oct. 6, 2009.
  2. Ferri FF. Procedures and interpretation of results. In: Ferri FF. Practical Guide to the Care of the Medical Patient. 7th ed. Philadelphia, Pa.: Elsevier Mosby; 2007. http://www.mdconsult.com/das/book/body/166565701-5/0/1417/1207.html?tocnode=52510544&fromURL=1207.html#4-u1.0-B978-0-323-04836-1..50017-4_1701. Accessed Oct. 23, 2009.
  3. Simon RP, et al. Neurologic investigations. In: Simon RP, et al. Clinical Neurology. 7th ed. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/content.aspx?aID=5151938. Accessed Oct. 23, 2009.
  4. Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Oct. 27, 2009.
  5. Sun C, et al. Post-lumbar puncture headache. http://www.uptodate.com/home/index.html. Accessed Oct. 23, 2009.
  6. Laboratory reference values. Cerebrospinal fluid. Rochester, Minn.: Mayo Foundation for Medical Education and Research; July 2008.
MY00982 Jan. 23, 2010

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