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Cerebrospinal fluid sampling – (b) lumbar cistern

image of Cerebrospinal fluid sampling – (b) lumbar cistern
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Abstract

Cerebrospinal fluid (CSF) samples are used in cases of suspected meningitis, infectious or inflammatory central nervous system disease, pyrexia of unknown origin, and suspected central nervous system (CNS) lymphoma, or when imaging and other diagnostic tests are inconclusive.

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Figures

Image of Figure C.11:
Figure C.11: The patient should be placed in lateral recumbency with the hindlimbs held cranially to flex the lumbar spine to obtain a cerebrospinal fluid sample from the lumbar cistern.
Image of Figure C.12:
Figure C.12: The needle should be inserted perpendicular to the skin in the midline. Cerebrospinal fluid should be allowed to drip passively from the needle hub into a collection tube.

Supplements

Procedure video: Cerebrospinal fluid sampling - lumbar cistern

This video shows how to sample cerebrospinal fluid at the lumbar cistern. Please note that, for filming purposes, this procedure was performed on a cadaver. Appropriate aseptic techniques should be employed when performing this procedure.

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