Step II lumber puncture?

[DOC2KGILL]

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hi guys.can u please help me with this .......if a patient has idiopathic intracranial hypertension,and has pappiledema,shud we do lumbar puncture?UW says we shud do lumbar puncture after imaging,is it right?i thought LP shud be avoided in pappiledema........please help!

 

[betz]

yes, you do LP, its therapeutic in these patients. you do a scan first to ensure that there is no mass, so they dont herniate if you do the LP. But once thats done, LP is one of the ways to decrease the intracranial pressure to alleviate the symptoms.

 

[gree0411]

hi guys.can u please help me with this .......if a patient has idiopathic intracranial hypertension,and has pappiledema,shud we do lumbar puncture?UW says we shud do lumbar puncture after imaging,is it right?i thought LP shud be avoided in pappiledema........please help!

Doctors don't normally do lumber punctures. Usually it would be a lumberjack or one who collects maple syrup. I assume they use a drill or something. I'm sure there's a student lumberjack network somewhere that you could post this question on.

 

[DOC2KGILL]

yes, you do LP, its therapeutic in these patients. you do a scan first to ensure that there is no mass, so they dont herniate if you do the LP. But once thats done, LP is one of the ways to decrease the intracranial pressure to alleviate the symptoms.

thanks!i think i was confusing I/C mass with I/C hypertension,gud u reminded me that 🙂