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If your child is too restless or upset to be able to get in position and hold still, we may have to postpone the lumbar puncture or carry it out with your child under general anaesthetic. Sometimes it is not easy for the doctor to locate the place where the needle should be inserted.
They remove a small sample of CSF from the spinal canal to be tested in a lab. The test does not damage the spinal cord or nerves. In some cases, your childs healthcare provider may need to use a special X-ray to help with the procedure.
The desired insertion point of the needle is the L3-L4 or L4-L5 interspace; thus, the needle is inserted below the level of the spinal cord. How To Do Lumbar Puncture - Neurologic Disorders merckmanuals.com professional how-to- merckmanuals.com professional how-to-
Locate the space between L3 and L4 by drawing an imaginary line between the tops of the iliac crests Find the L4 spinous process and use the interspace between L4 and L5 as the site of the lumbar puncture see Figure 4 below.
The ideal insertion point of the spinal needle should be either in the interspinous area between L4 and L5 or L3 and L4. Using these landmarks will avoid inadvertent damage to the conus medullaris, which typically terminates at L1. Lumbar Puncture - StatPearls - NCBI Bookshelf nih.gov books NBK557553 nih.gov books NBK557553
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Newborn infants are the highest-risk age group for bacterial meningitis. Lumbar punctures are therefore frequently performed in neonates, but success rates are low (5060%).
A diagnostic Lumbar Puncture should be performed at the L3/4 interspinal space, marked x. The approximate distance from the skin to the epidural space is 45-55mm and the dura mater may be up to 7mm beyond that depth. Diagnostic Lumbar Puncture - PMC - NCBI nih.gov articles PMC4113153 nih.gov articles PMC4113153
During a lumbar puncture, your child will lie on their side with their knees tucked into their chest and head bent forward. Kids Health Information : Lumbar puncture rch.org.au kidsinfo factsheets Lum rch.org.au kidsinfo factsheets Lum

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