What I Have Learned About Infectious Diseases With My Sleeves Rolled Up

Karen L. Roos, MD


Semin Neurol. 2002;22(1) 

In This Article

Final Thoughts

If you ask the question: "Should I do a lumbar puncture in the evaluation of this patient?" a lumbar puncture should be done. The procedure should be done as skillfully as possible. The goal is a "champagne tap." Try not to poke yourself with the spinal needle. Obtain neuroimaging prior to lumbar puncture in every patient with an altered level of consciousness, new onset seizure activity, and/or focal neurological deficits. Initiate antimicrobial therapy expeditiously; withdraw antimicrobial therapy only after careful thought.

CME Information

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