Lumbar Puncture

Spinal Tap

Risks

A lumbar puncture is generally a safe procedure. In some cases, a leak of cerebrospinal fluid (CSF) may develop after a lumbar puncture. Symptoms of this problem are a headache that does not go away after 1 to 2 days. A CSF leak can be treated with a blood "patch," in which the person's own blood is injected into the area where the leak is occurring in order to seal the leak.

About 1 in 1,000 people who have a lumbar puncture have a minor nerve injury. This heals on its own with time. There is also a small chance of infection of the CSF (meningitis), bleeding inside the spinal canal, or damage to the cartilage between the vertebrae. Your doctor will talk with you about these risks.

People who have bleeding problems and those who are taking blood-thinning medicine (such as warfarin or heparin) have a higher chance of bleeding after the procedure. A lumbar puncture may not be done unless it is needed for a life-threatening illness.

A lumbar puncture may cause serious problems for people who have high pressure in the brain caused by a tumor, a pocket of infection in the brain (abscess), or major bleeding inside the brain. Your doctor will check your nervous system, spinal cord and brain before doing a lumbar puncture. In some cases, a computed tomography (CT) scan or magnetic resonance imaging (MRI) scan may be done before the lumbar puncture to know that it is safe to do the puncture.

After the procedure

Call your doctor immediately if you have:

• Chills or a fever.
• A stiff neck. This may be a sign of a developing infection.
• Any drainage or bleeding from the puncture site.
• A severe headache.
• Any numbness or loss of strength below the puncture site.

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Author:	Caroline Rea, RN, BS, MS	Last Updated: September 12, 2008
Medical Review:	Anne C. Poinier, MD - Internal Medicine Joseph O'Donnell, MD - Hematology/Oncology
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