Viral meningitis lumbar puncture
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Lumbar puncture is the most important specific diagnostic procedure for detecting viral meningitis and to exclude other causes of meningitis. It is indicated for all suspected patients of viral meningitis. The CSF findings in case of viral meningitis include high glucose concentration, normal or slightly high protein, increased number of lymphocytes and lactates level of <2.1 mmol/l.[1][2]
Lumbar puncture
Indicaitons of lumbar puncture
Lumbar puncture is indicated in all pateints with strong suspicion of meningitis for the following reasons:[3]
- To confirm the diagnosis
- To differentiate the different causes of meningitis
- To diagnose the specific causative agent for bacterial meningitis
- To start the appropriate treatment as early as possible to prevent complications
References
- ↑ Casasoprana A, Hachon Le Camus C, Claudet I, Grouteau E, Chaix Y, Cances C; et al. (2013). "[Value of lumbar puncture after a first febrile seizure in children aged less than 18 months. A retrospective study of 157 cases]". Arch Pediatr. 20 (6): 594–600. doi:10.1016/j.arcped.2013.03.022. PMID 23639837.
- ↑ Negrini B, Kelleher KJ, Wald ER (2000). "Cerebrospinal fluid findings in aseptic versus bacterial meningitis". Pediatrics. 105 (2): 316–9. PMID 10654948.
- ↑ Doherty CM, Forbes RB (2014). "Diagnostic Lumbar Puncture". Ulster Med J. 83 (2): 93–102. PMC 4113153. PMID 25075138.