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Successful lumbar puncture with Taylor's approach for the diagnostic workup of meningitis in a patient with Ankylosing spondylitis.

Authors :
Shrestha, Gentle Sunder
Acharya, Subhash Prasad
Keyal, Niraj
Paneru, Hem Raj
Shrestha, Pramesh Sunder
Source :
Indian Journal of Critical Care Medicine; Oct2015, Vol. 19 Issue 10, p618-620, 3p, 2 Black and White Photographs
Publication Year :
2015

Abstract

Meningitis and encephalitis are the neurological emergencies. As the clinical findings lack specificity, once suspected, cerebrospinal fluid (CSF) analysis should be performed and parenteral antimicrobials should be administered without delay. Lumbar puncture can be technically challenging in patients with ankylosing spondylitis due to ossification of ligaments and obliteration of interspinous spaces. Here, we present a case of ankylosing spondylitis where attempts for lumbar puncture by conventional approach failed. CSF sample was successfully obtained by Taylor's approach. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09725229
Volume :
19
Issue :
10
Database :
Complementary Index
Journal :
Indian Journal of Critical Care Medicine
Publication Type :
Academic Journal
Accession number :
110508564
Full Text :
https://doi.org/10.4103/0972-5229.167053