Vasopressin in Prevention of Lumbar Puncture Headache

A double-blind controlled trial of aqueous vasopressin injection (Pitressin) in the prophylaxis of lumbar puncture reactions in 50 patients showed that the incidence of reactions was unaffected, but that severe reactions occurred less frequently in the treatment group. Moderately severe side-effects occurred in 27% of those receiving vasopressin.     

Lumbar Puncture in the Presence of Raised Intracranial Pressure

Study of 30 patients with raised intracranial pressure whose condition worsened after lumbar puncture emphasizes the danger of carrying this out in the presence of raised intracranial pressure. In half the cases deterioration was immediate and dramatic, and in the other half it occurred within 12 hours. Probably a tentorial or cerebellar pressure cone, or both, had formed before lumbar puncture, and the procedure made this worse and caused the clinical deterioration.A history of progressive headache associated with mental changes, and the development and progression of localizing neurological signs were the two features suggestive of varied intracranial pressure found most constantly in this series. A good quality plain x-ray film is important in the diagnosis of this condition.     

一种Beagle犬腰椎穿刺置管术介绍

目的建立一种新的Beagle犬脑脊液连续留取的方法。方法通过氯胺酮麻醉进行腰椎穿刺后置管可连续留取脑脊液。结果腰椎穿刺置管后成功连续留取清亮脑脊液超过48h。结论腰椎穿刺置管连续留取脑脊液简单、有效。