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What Is the Recovery Time for a Blood Patch after a Lumbar Puncture?
Title: What Is the Recovery Time for a Blood Patch after a Lumbar Puncture?Category: Doctor's& Expert's views on SymptomsCreated: 7/10/2017 12:00:00 AMLast Editorial Review: 7/10/2017 12:00:00 AM (Source: MedicineNet Migraine General)
Source: MedicineNet Migraine General - July 10, 2017 Category: Neurology Source Type: news

Clinical microbiology Q & A
A 2-week-old boy is brought to the emergency department with fevers and fussiness. He appears very ill, so a lumbar puncture is performed. Blood cultures are also collected. The Gram stain of the cerebrospinal fluid (CSF) shows abundant polymorphonuclear cells and moderate Gram-negative rods. A photo of the CSF Gram stain is shown in Fig. 1. (Source: Clinical Microbiology Newsletter)
Source: Clinical Microbiology Newsletter - July 6, 2017 Category: Microbiology Tags: Q & A Source Type: news

How Disease Detectives Unearthed A Forgotten Drug To Fight A Lethal Illness
This article is part HuffPost’s Project Zero campaign, a yearlong series on neglected tropical diseases and efforts to eliminate them. One morning a few years ago, a vial containing just a few drops of a long-forgotten drug candidate arrived at the office of bioengineer Els Torreele in Switzerland.  The compound, fexinidazole, had been studied at a drug company several decades earlier, but researchers had given up on it for no clear reason. Torreele had asked the company to unearth whatever it had left from its archive, hoping to get her hands on the final clue in a long process of painstaking detectiv...
Source: Healthy Living - The Huffington Post - December 13, 2016 Category: Consumer Health News Source Type: news

Promising Alzheimer's drug 'clears early hurdle'
Conclusion The road to the launch of a new drug treatment is long, and this latest trial represents one early step along the path. It's encouraging that the drug did what researchers thought it would do in terms of reducing amyloid plaque in the spinal fluid, and that it didn't seem to cause serious side effects. However, there's still a way to go before we know whether it's safe and effective for people with Alzheimer's disease. The phase 1 trial is primarily set up to assess safety and tolerability, and get an idea of what dose to use – not to test if it works. This phase 1 trial included just 32 people, two of ...
Source: NHS News Feed - November 3, 2016 Category: Consumer Health News Tags: Mental health Neurology Older people Source Type: news

MassDevice.com +5 | The top 5 medtech stories for September 19, 2016
Say hello to MassDevice +5, a bite-sized view of the top five medtech stories of the day. This feature of MassDevice.com’s coverage highlights our 5 biggest and most influential stories from the day’s news to make sure you’re up to date on the headlines that continue to shape the medical device industry. Get this in your inbox everyday by subscribing to our newsletters.   5. Edwards Lifesciences wins expanded CE Mark for Sapien 3 replacement heart valve Edwards Lifesciences said today that it won CE Mark approval in the European Union for an expanded indication for its Sapien 3 transcatheter aortic...
Source: Mass Device - September 19, 2016 Category: Medical Equipment Authors: MassDevice Tags: News Well Plus 5 Source Type: news

GE backs Injeq ’ s smart needle
Injeq, a resident at GE’s Health Innovation Village in Helsinki, created a smart needle that tells the user about surrounding tissue for safer liver biopsies and lumbar punctures. The Finnish company’s device looks like a standard hypodermic needle, but with an electrode attached to the tip. The needle measures changes in signal caused by contact with surrounding tissue. While a doctor is performing a lumbar puncture, the device will tell the doctor what type of tissue the needle is near and when they approach cerebrospinal fluid. Get the full story at our sister site, Medical Design & Outsourcing. The post...
Source: Mass Device - September 19, 2016 Category: Medical Equipment Authors: Sarah Faulkner Tags: Research & Development GE Healthcare Injeq Source Type: news

After Moyamoya surgery, a back-to-normal birthday for Carolyn
Before Moyamoya surgery Carolyn Milks turns 8 on August 21. It’s a big celebration. Carolyn and her family aren’t just celebrating her birthday — they’re celebrating Carolyn’s return to normal. For most of the summer, things like swimming, riding her bicycle and horsing around with her sisters and cousins had been out of the question for Carolyn. But on August 11, Dr. Ed Smith, co-director of the Boston Children’s Hospital Cerebrovascular Surgery and Interventions Center, gave Carolyn the green light. She could go back to being a kid. “This is what kids really want. They just ...
Source: Thrive, Children's Hospital Boston - August 18, 2016 Category: Pediatrics Authors: Joyce Choi Tags: Our Patients’ Stories Boston Children's at Waltham Cerebrovascular Surgery and Interventions Center Dr. Ed Smith moyamoya Source Type: news

When Is the Clinical Nadir for Guillain-Barr é Syndrome?
Discussion Guillian-Barré syndrome (GBS) is an acquired, acute, inflammatory, demyelinating polyneuropathy. It is the most common cause of acute and subacute flaccid paralysis in children. GBS causes about 0.4-1.3 cases per 100,000 persons/year in children. It can occur in any age group and the incidence increases among all age groups until a peak in the 50s. Both genders are affected and there may be a slight increase in males. GBS usually occurs 2-4 weeks after a prodromonal gastroenteritis or respiratory illness. It is most often associated with Campylobacter jejunae, Haemophilus infuenza, Mycoplasma pneumoniae,...
Source: PediatricEducation.org - August 8, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Lumbar Puncture (LP or Spinal Tap)
Title: Lumbar Puncture (LP or Spinal Tap)Category: Procedures and TestsCreated: 10/13/1998 12:00:00 AMLast Editorial Review: 11/2/2015 12:00:00 AM (Source: MedicineNet Migraine General)
Source: MedicineNet Migraine General - November 2, 2015 Category: Neurology Source Type: news

FDA warns epidural needle maker International Medical Development
The FDA today published a warning letter it sent to epidural and anesthesia needle maker International Medical Development over issues with it marketing its Gertie Marx needles outside its indication and quality control issues related to manufacturing. International Medical Development’s Gertie Marx needles are cleared for “the transient delivery of anesthetics to provide regional anesthesia or to facilitate placement of an epidural catheter in adults,” according to the FDA. The federal watchdog said the company is marketing the needles for lumbar puncture, myelogram and pediatric use, which it said ...
Source: Mass Device - October 7, 2015 Category: Medical Equipment Authors: Fink Densford Tags: Business/Financial News Food & Drug Administration (FDA) Regulatory/Compliance International Medical Development Source Type: news

Perceptions of Lumbar Puncture for the Diagnosis and Treatment of Meningitis in Uganda (Ann Vogt Lima MD)
Perceptions of lumbar puncture for the diagnosis and treatment of meningitis in Uganda (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)
Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded - October 5, 2015 Category: Primary Care Source Type: news

Tea with Oliver Sacks: Will Self, Andrew Solomon and Sue Halpern pay tribute
The death of Oliver Sacks this week made headlines, some of them surprising. Three writers pay tribute to an ardent observer, whose literary portraits of his patients are rich in compassion, insight and humourHaving met the late Oliver Sacks, neurologist and writer, only twice in my life, the occasions separated by some 36 years, I certainly cannot pretend to any friendship or even acquaintance. Nonetheless, I think I can speak for hundreds, if not thousands, who, while not especially close, nevertheless felt physically touched by the life of this extraordinary man. And touched is surely the right word: on the second occas...
Source: Guardian Unlimited Science - September 4, 2015 Category: Science Authors: Will Self, Andrew Solomon, Sue Halpern Tags: Books Culture Oliver Sacks Science and nature Psychology Source Type: news

Jim Watt helps carry the coffin of TV host daughter Michelle at her funeral
Ms Watt, 38, was left in crippling pain following a lumbar puncture procedure. Around 500 people gathered at St Mary's Church in Kirkintilloch, near Glasgow, for her funeral. (Source: the Mail online | Health)
Source: the Mail online | Health - July 6, 2015 Category: Consumer Health News Source Type: news

Ultrasound, algorithms to diagnose bacterial meningitis in babies
Currently the only test to diagnose bacterial meningitis in babies is through a lumbar puncture, a painful and difficult procedure to perform. For this reason, a group of biomedical engineers decided to search for an alternative and developed a portable device that can detect this illness with a simple ultrasound scan of the fontanelle. The high-resolution image obtained is then analyzed with algorithms and within seconds indicates if there is cellularity in the cerebrospinal fluid that is sign of infection. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - June 8, 2015 Category: Science Source Type: news

Ultrasound and algorithms to diagnose bacterial meningitis in babies
(FECYT - Spanish Foundation for Science and Technology) Currently the only test to diagnose bacterial meningitis in babies is through a lumbar puncture, a painful and difficult procedure to perform. For this reason, a group of biomedical engineers decided to search for an alternative and developed a portable device that can detect this illness with a simple ultrasound scan of the fontanelle. The high-resolution image obtained is then analyzed with algorithms and within seconds indicates if there is cellularity in the cerebrospinal fluid that is sign of infection. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - June 8, 2015 Category: Global & Universal Source Type: news

Evaluation and Treatment of Fetal Exposure to Toxoplasmosis
Symptomatic congenital toxoplasmosis is a rare disease in the United States. However, prenatal screening is becoming increasingly available, resulting in identification of infants at risk of developing the disease. Infants who are born asymptomatic may still develop significant neurodevelopmental sequelae months or even years after birth if untreated. Congenital toxoplasmosis is a difficult infection to diagnose. Using one case as an example, this review attempts to highlight the importance of identifying at-risk infants and summarize the most current recommendations with regard to workup and treatment of affected infants....
Source: NeoReviews recent issues - April 1, 2015 Category: Pediatrics Authors: Wild, B. M., Obringer, E., Farrell, E. Tags: Pediatric Drug Labeling Update Articles Source Type: news

Doctor in Limerick used his thumb nail to mark the skin of a cancer patient who was to undergo a lumbar puncture procedure, a Medical Council fitness to practice inquiry has heard
Dr Sabiq Adhmed alledgedly failed to order chemotherapy treatment for a patient (Source: The Irish Times - Health)
Source: The Irish Times - Health - March 9, 2015 Category: Consumer Health News Source Type: news

Girl with amnesia regains her memory after a HUG from her little brother
Chloe Inman, 16, from Devon, suffered total memory loss after a lumbar puncture to remove fluid from her spine. But after her brother Caleb gave her a cuddle, the memories came flooding back, she claims. (Source: the Mail online | Health)
Source: the Mail online | Health - March 5, 2015 Category: Consumer Health News Source Type: news

US-Assisted Lumbar Puncture in Pediatric Emergency MedicineUS-Assisted Lumbar Puncture in Pediatric Emergency Medicine
This technique could be a valuable tool in achieving successful lumbar punctures in pediatric emergency patients. The Journal of Emergency Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 5, 2014 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

What Causes Neck Stiffness?
Discussion The complaint of neck stiffness always makes the clinician a little concerned until he/she understands the whole history because of the potential diagnosis of meningitis/encephalitis. While this potential is always concerning, there are many other causes of neck stiffness or pain to consider that are much more common. Normal wear and tear, injury or overuse that occur in daily activities and work can cause neck stiffness or pain. Often, even in adults, the cause of the pain is not recognized. Good examples are the adolescent above, or an innocent stumble, particularly if carrying something that may cause a perso...
Source: PediatricEducation.org - June 30, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

IV Theophylline Quickly Reduces Lumbar Puncture HeadacheIV Theophylline Quickly Reduces Lumbar Puncture Headache
A small study shows that the pain common after lumbar puncture or spinal anesthesia quickly resolves with IV theophylline, with the greatest relief in the first 30 minutes but continuing out to 60 minutes. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - June 4, 2014 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Hot Topics: High and Low CSF Pressure Headaches
(MedPage Today) -- How do you diagnose and treat high and low cerebrospinal fluid pressure headaches? Three clinicians provide a primer: lumbar puncture is key to diagnosing both conditions but treatment strategies differ considerably. (Source: MedPage Today Pain Management)
Source: MedPage Today Pain Management - April 24, 2014 Category: Anesthesiology Source Type: news

What Causes Ataxia?
Discussion Coordination and balance problems are caused by various problems affecting the central and peripheral nervous system. Normal development of a child or weakness of a child are commonly mistaken for true ataxia. Ataxia specifically refers to “…impairment of the coordination of movement without loss of muscle strength.” If it is purely due to abnormalities of the cerebellum then there should be no changes in mental status, sensation or weakness. Sometimes it is difficult to determine if there are abnormalities in other areas. For example, Guillian-Barre often presents with difficulty or clumsy wa...
Source: PediatricEducation.org - March 31, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Could spinal fluid test give early Alzheimer’s warning?
ConclusionThe current research suggests it may be possible to identify those with Alzheimer’s using a biochemical test carried out on a spinal fluid sample. However, it is important to note that: the development of this test is at a very early stage, and the study design used here is not ideal for assessing the test’s diagnostic accuracy. Population-based testing may follow, allowing researchers to better assess the accuracy and, more importantly, how many people could be given an incorrect diagnosis of dementia based on this test. However, development still needs to be done before population-based testing cou...
Source: NHS News Feed - March 21, 2014 Category: Consumer Health News Tags: Medical practice Neurology Source Type: news

Blood Test May Be Closer for Narcolepsy
Recent advances by Dr. Emmanuel Mignot's research group at Stanford University may move us closer to being able to diagnose narcolepsy with a blood test, as discussed in a recent piece on The Huffington Post.   Historically, narcolepsy has been difficult to diagnose and prior to the identification of its cause, was often dismissed as a psychiatric manifestation. The condition is relatively rare, affecting 1 in 2,000 people. It is characterized by excessive daytime sleepiness, hallucinations associated with sleep transitions, sleep paralysis, and often cataplexy. Cataplexy is weakness that may manifest as knee buckli...
Source: About Sleep Disorders - February 25, 2014 Category: Sleep Medicine Source Type: news

Lumbar Puncture
Title: Lumbar PunctureCategory: Procedures and TestsCreated: 10/13/1998 4:25:00 PMLast Editorial Review: 1/29/2014 12:00:00 AM (Source: MedicineNet Migraine General)
Source: MedicineNet Migraine General - January 29, 2014 Category: Neurology Source Type: news

Lumbar Puncture in Children With Influenza or Other VirusesLumbar Puncture in Children With Influenza or Other Viruses
Lumbar puncture -- Useful, or a waste of resources in children with influenza? Influenza and Other Respiratory Viruses (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - December 27, 2013 Category: Consumer Health News Tags: Infectious Diseases Journal Article Source Type: news

FDA Underlines Risk of Spinal Procedures on LMW HeparinsFDA Underlines Risk of Spinal Procedures on LMW Heparins
The FDA announced new recommendations aimed at reducing the risk of spinal bleeding with epidural and lumbar puncture procedures among patients taking enoxaparin and other low-molecular-weight heparins. News Alerts (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 6, 2013 Category: Consumer Health News Tags: Neurology & Neurosurgery News Alert Source Type: news

How Long After Neonatal Meningitis Should An Infant Have a Hearing Screening?
Discussion Hearing loss can range from profound deafness to fairly minor loss. The causes vary based on age, type of loss (sensoryneuronal or conductive), degree and audiometric configuration. Sensorineuronal hearing loss involves the cochlea and neural connections to the brain and auditory cortex. Conductive hearing loss involves structures from the external ear to the oval window. Deafness is defined as a hearing loss> 90 dB. A differential diagnosis of hearing loss can be found here. Learning Point After bacterial meningitis children should be screened for potential hearing loss. Data supports that screening in the h...
Source: PediatricEducation.org - October 28, 2013 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: news

How Long After Neonatal Meningitis Should An Infant Have a Hearing Screening?
Discussion Hearing loss can range from profound deafness to fairly minor loss. The causes vary based on age, type of loss (sensoryneuronal or conductive), degree and audiometric configuration. Sensorineuronal hearing loss involves the cochlea and neural connections to the brain and auditory cortex. Conductive hearing loss involves structures from the external ear to the oval window. Deafness is defined as a hearing loss> 90 dB. A differential diagnosis of hearing loss can be found here. Learning Point After bacterial meningitis children should be screened for potential hearing loss. Data supports that screening in the h...
Source: PediatricEducation.org - October 28, 2013 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

How Common Are Post-Dural Puncture Headaches in Children?
Discussion Post-dural puncture headache or spinal headache as they are often called, are headaches that occur within 7 days of a lumbar puncture and remit within 14 days of the lumbar puncture. They begin or worsen within 15 minutes of being in an upright position and improve or stop within 30 minutes of lying down. The headaches are described as a throbbing, dull and severe pain worse mainly in the occipital area, but can occur with radiation to the eyes, forehead or neck. Nausea, emesis, stiff neck, and visual or auditory changes may also occur. Most spinal headaches occur within 1-2 days of the lumbar puncture and spont...
Source: PediatricEducation.org - October 14, 2013 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: news

How Common Are Post-Dural Puncture Headaches in Children?
Discussion Post-dural puncture headache or spinal headache as they are often called, are headaches that occur within 7 days of a lumbar puncture and remit within 14 days of the lumbar puncture. They begin or worsen within 15 minutes of being in an upright position and improve or stop within 30 minutes of lying down. The headaches are described as a throbbing, dull and severe pain worse mainly in the occipital area, but can occur with radiation to the eyes, forehead or neck. Nausea, emesis, stiff neck, and visual or auditory changes may also occur. Most spinal headaches occur within 1-2 days of the lumbar puncture and spont...
Source: PediatricEducation.org - October 14, 2013 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Blame These Bumps on Mosquitoes?
Multiple itchy red bumps on a man’s ankles; relative contraindications to lumbar puncture; stroke in an addict. . . 5 more questions for you to test the breadth of your clinical knowledge. (Source: Consultant Live)
Source: Consultant Live - September 26, 2013 Category: Primary Care Source Type: news

CSF Analysis Aids GLUT1 Deficiency DiagnosisCSF Analysis Aids GLUT1 Deficiency Diagnosis
In patients suspected of having GLUT1 deficiency syndrome, lumbar puncture should be done before genetic evaluation is considered, according to Dutch researchers. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 4, 2013 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

When Meningitis is Suspected, Is Lumbar Puncture Always Indicated?
How would you answer this question? Is it the right question to ask in a case of suspected meningitis? (Source: Consultant Live)
Source: Consultant Live - August 30, 2013 Category: Primary Care Source Type: news

Lumbar Puncture in New Onset Complex Febrile SeizuresLumbar Puncture in New Onset Complex Febrile Seizures
Patients presenting with a first complex febrile seizure who are at lower risk of acute bacterial meningitis may not require lumbar puncture. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - July 30, 2013 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

Paralysed with Fear: The Story of Polio by Gareth Williams – review
The history of polio and its treatment is one of dead ends, missed opportunities and downright skulduggeryMost British doctors and nurses working today will never have treated a case of polio. The closest most of us ever come to the polio virus is swallowing a sugarcube containing the oral vaccine or taking our children for their jabs. Today, we stand on the brink of eradicating polio from the world.Yet for anyone over the age of 50, polio still casts nightmarish shadows of babies entombed in iron lungs, children hobbling in leg irons and adults confined in wheelchairs. Seemingly appearing out of nowhere in unstoppable epi...
Source: Guardian Unlimited Science - July 17, 2013 Category: Science Tags: The Guardian Culture Health Vaccines and immunisation Reviews Books Polio Science and nature Source Type: news

What are the Recommendations for Neuromaging Because of Headaches?
Discussion Headaches are not only painful but can significantly affect the lives of patients and families. Education and support for patients is key to managing headaches. Detailed diaries not only help with initial diagnosis but also chronic management. Common headache types include: Tension headache Location – bilateral Intensity – mild or moderate Description – non-pulsating tightening or pressure Activities – not aggravated by usual activities Duration – 30 minutes – continuous Frequency – 15 days per month for more than 3 months for chronic tension headache Treatment &ndash...
Source: PediatricEducation.org - July 15, 2013 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: news

Diagnosing CNS Infections With a Simple Lumbar Puncture PackDiagnosing CNS Infections With a Simple Lumbar Puncture Pack
Can implementing a simple lumbar puncture pack improve the diagnosis of CNS infections? Emergency Medicine Journal (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - July 8, 2013 Category: Emergency Medicine Tags: Emergency Medicine Journal Article Source Type: news

Ultrasound enables fuss-free lumbar puncture
Use of ultrasound imaging helps to minimize adjustments, failures, and trauma during lumbar puncture or epidural catheterization, conclude the authors of a systematic review and meta-analysis. (Source: MedWire News - Anesthesiology)
Source: MedWire News - Anesthesiology - April 5, 2013 Category: Anesthesiology Source Type: news

Severe Headache After Hysterectomy – Sharon’s Story
I had a toal hysterectomy in December 2012, everything went well and I was discharged on three days later. However six days after this I was shopping in the supermarket when I was suddenly struck with a blinding headache. It started on the left side of my head and within minutes it had travelled across my whole forehead. I was sick, the pain was unbareable, I had never experienced anything like it. I took two paracetamol and went to bed in a dark room to sleep it off, after two hours the pain was still ferocious and I was crying and being sick. My husband telephoned the hospital and they admitted me. I had to have an injec...
Source: The Hysterectomy Association - February 3, 2013 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: Your Stories headache migraine Source Type: news