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1

Rita, White, and National Institutes of Health (U.S.). Clinical Center, eds. Preparing for a lumbar puncture. [Bethesda, Md.?]: U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, Clinical Center, 1989.

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2

Bowens, Barbara. Preparing for a lumbar puncture. [Bethesda, Md.?]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, Clinical Center, 1989.

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3

Bowens, Barbara. Preparing for a lumbar puncture. [Bethesda, Md.?]: Clinical Center Communications, National Institutes of Health, 1988.

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4

National Institutes of Health (U.S.). Clinical Center, ed. Preparing for a lumbar puncture. [Bethesda, Md.?]: National Institutes of Health, Clinical Center, 1994.

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5

Yizhar, Floman, ed. Disorders of the lumbar spine. Rockville, Md: Aspen, 1990.

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6

Macintosh, R. R. Sir, 1897-, Lee J. Alfred, Atkinson R. S, and Watt Margaret J, eds. Sir Robert Macintosh's Lumbar puncture and spinal analgesia: Intradural and extradural. 5th ed. Edinburgh: Churchill Livingstone, 1985.

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7

R, Macintosh R. Sir Robert Macintosh's Lumbar puncture and spinal analgesia: Intradural and extradural. 5th ed. Edinburgh: Churchill Livingstone, 1985.

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8

Robert, MacIntosh. Sir Robert Macintosh's Lumbar puncture and spinal analgesia: Intradural and extradural. 5th ed. Edinburgh: Churchill Livingstone, 1985.

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9

Clinical and radiological anatomy of the lumbar spine. 5th ed. Edinburgh: Churchill Livingstone, 2012.

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10

Rāmāṇī, Pī Esa. Textbook of surgical management of lumbar disc herniation. Edited by Jaypee Brothers Medical Publishers and World Federation of Neurosurgical Societies. Spine Committee. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd., 2014.

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11

Lumbar spinal imaging in radicular pain and related conditions: Understanding diagnostic images in a clinical context. Berlin: Springer, 2010.

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12

Hall, Wendy J., and Ysha Morco. Lumo's Lumbar Puncture. Createspace Independent Publishing Platform, 2018.

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13

Advanced Concepts in Lumbar Degenerative Disk Disease. Springer Berlin / Heidelberg, 2016.

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14

Vaccaro, Alexander R., Edward C. Benzel, H. Michael Mayer, and João Luiz Pinheiro-Franco. Advanced Concepts in Lumbar Degenerative Disk Disease. Springer, 2015.

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15

Vaccaro, Alexander R., Edward C. Benzel, H. Michael Mayer, and João Luiz Pinheiro-Franco. Advanced Concepts in Lumbar Degenerative Disk Disease. Springer, 2015.

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16

Lee, J. Alfred, Margaret J. Watt, and R. S. Atkinson. Sir Robert MacIntosh's Lumbar Puncture and Spinal Analgesia. Churchill Livingstone, 1986.

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17

Neuro Spinal Surgery Operative Techniques: Micro Lumbar Discectomy. Jaypee Brothers Medical Publishers, 2017.

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18

Surgical Care of the Painful Degenerative Lumbar Spine: Evaluation, Decision-Making, Techniques. Thieme Medical Publishers, Incorporated, 2018.

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19

Rubin, Philip. Post–Dural Puncture Headache. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0056.

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Post–dural puncture headache (PDPH) is a benign but debilitating condition that may occur as a consequence of any dural puncture, whether intentional (as with spinal anesthesia or lumbar puncture) or inadvertent (as with epidural anesthesia). The headache is characteristically unique, as it is postural in nature—worsened when sitting or standing, and markedly improved in the recumbent position. After the puncture, passage of cerebrospinal fluid (CSF) across the dura mater from a pressurized environment (subarachnoid space) to the epidural space, is the initial culprit behind the headache. Noninvasive conservative measures including hydration, analgesics, and caffeine intake are typically offered as initial treatments, but if those measures fail, the “gold standard” epidural blood patch is commonly offered. This procedure entails injection of autologous blood into the epidural space to both halt continued CSF “loss,” and to increase CSF pressure, both of which aid in headache resolution.
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20

Beall, Douglas. Lumbar Spine, An Issue of Magnetic Resonance Imaging Clinics (The Clinics: Radiology). Saunders, 2007.

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21

M, Phillips Frank, and Lauryssen Carl, eds. The lumbar intervertebral disc. New York, NY: Thieme Medical Publishers, 2010.

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22

Tubercular meningitis, lumbar puncture: Tubercle bacilli in the fluid removed : puncture fluid inoculated into guinea pig producing general miliary tuberculosis. [S.l: s.n., 1986.

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23

Bogduk, Nikolai. Clinical and Radiological Anatomy of the Lumbar Spine. Elsevier, 2022.

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24

Bogduk, Nikolai. Clinical and Radiological Anatomy of the Lumbar Spine. Elsevier - Health Sciences Division, 2012.

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25

Publications, ICON Health. Lumbar Puncture - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References. ICON Health Publications, 2004.

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26

Agarwal, Anil, Neil Borley, and Greg McLatchie. Neurosurgery. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199608911.003.0013.

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This chapter on neurosurgery covers such operations as lumbar puncture, lumbar drain insertion, burrhole access to the cranial cavity, evacuation of chronic subdural haematoma, insertion of ventricular drain, ventriculoperitoneal shunt and intracranial pressure monitor, craniotomy, decompressive craniectomy, elevation of depressed skull fracture, anterior cervical discectomy, lumbar microdiscectomy, laminectomy, carpal tunnel decompression, and ulnar nerve decompression.
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27

(Preface), Aubrey Swartz, ed. Rehabilitation Protocols for Surgical and Nonsurgical Procedures: Lumbar Spine. North Atlantic Books, 2001.

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28

Nithi, Kannan, and Sarosh Irani. Investigation in neurological disease. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0221.

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This chapter provides a brief overview of the more commonly available neurophysiology and neuroradiology techniques, guidance on how to perform a lumbar puncture, and a summary of biochemical, immunological, and genetic tests relevant to neurological disorders.
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29

Chong, Ji Y., and Michael P. Lerario. Worst Headache of Her Life. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190495541.003.0035.

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Aneurysmal subarachnoid hemorrhage typically causes sudden severe headache. Diagnosis is made by CT scan in most cases, but lumbar puncture may be needed if CT findings are normal and suspicion is high. Rapid evaluation and treatment are important because of the high morbidity and mortality associated with rebleeding and vasospasm.
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30

Candido, Kenneth D., Teresa M. Kusper, Bora Dinc, and Nebojsa Nick Knezevic. Epidural Blood Patch. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0036.

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Post-dural-puncture headache (PDPH) is a consequence of neuraxial anesthesia, diagnostic lumbar puncture, intrathecal drug delivery systems, or any other technique involving dural trespass. The spinal headache results from a dural puncture that leads to cerebrospinal fluid (CSF) leakage from the subarachnoid space to the epidural space, culminating in intracranial hypotension and development of a low-pressure headache. A key element of PDPH is an increase in pain severity upon a change in position from supine to upright, which corresponds to a gravity-induced influence on CSF pressure dynamics. Age, sex, and design of the needle used correlate with the risk of headache. Sometimes, the headache resolves spontaneously. At other times, conservative treatment or aggressive measures are required to terminate the pain. An autologous epidural blood patch is an established way preventing or treating PDPH. A careful history must be obtained to identify other causes of headache before the blood patch is attempted.
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31

Friedman, Deborah I., Shamin Masrour, and Susan Hutchinson. Headache. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0012.

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In most cases, women with headache disorders have normal pregnancy and delivery outcomes and should not be discouraged from becoming pregnant. Pre-pregnancy planning includes weaning of contraindicated medications. Most women with migraine without aura improve during pregnancy. Although there are limitations, various acute and preventive treatments may be employed, including non-pharmacologic options. Anti-epileptic medications should be avoided. For pseudotumor cerebri, the mainstay of treatment includes diuretics and therapeutic lumbar punctures, avoiding topiramate. Surgical treatment may be necessary if vision is threatened. Close monitoring and collaboration between an ophthalmologist, neurologist and obstetrician are critical. New-onset pseudotumor cerebri requires an investigation for secondary causes such as cerebral venous thrombosis. In the absence of a pre-existing primary headache disorder, new headaches in the postnatal period warrant evaluation for secondary headache disorders, including post-dural puncture headache, stroke, cerebral venous thrombosis, pre-eclampsia, eclampsia, reversible cerebral vasoconstriction syndrome (RCVS), and pituitary apoplexy.
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32

O’Neal, M. Angela. Ringing in the Ears and Pain in the Head. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0015.

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The case illustrates the classic clinical features of a low-pressure headache. The pathophysiology results from the loss of cerebrospinal fluid (CSF). This causes sagging of the brain, stretching of the bridging veins, and venodilatation. The clinical history is of a headache that is worse in the upright position and remits when the patient is supine. Due to the connection of the perilymphatic fluid and CSF, postural tinnitus is a frequent symptom. Risk factors for low-pressure headache include those that are patient-specific: female sex, low body mass index, prior history of a low-pressure headache, and an underlying headache disorder. Operator-specific factors that decrease the risk of a postdural puncture headache (PDPH) include greater operator experience and the use of a smaller-gauge, non-cutting lumbar puncture needle. The best treatment for low-pressure headache is a blood patch with resolution in over 90% of low-pressure headaches.
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33

Cohen, Jeffrey A., Justin J. Mowchun, Victoria H. Lawson, and Nathaniel M. Robbins. A 48-Year-Old with Progressive Weakness and Pain. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190491901.003.0005.

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Guillain-Barré syndrome may present in several ways, although predominant proximal weakness is a common feature of the disease to recognize. The differential diagnosis may be extensive and can include infection, vasculitis, toxin exposure, and malignancy. A lumbar puncture must be done with minimal delay to evaluate for cerebrospinal fluid (CSF) albuminocytological dissociation, however results may be normal early in the course of the disease. EMG/NCS are helpful to support the diagnosis, and early treatment with intravenous immunoglobulin (IVIG) is essential. This chapter discusses the clinical features and diagnostic considerations of this important condition.
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34

Kovarik, Kathleen Cecile. Hypnosis and distraction: Self-management strategies for pain and anxiety reduction during bone marrow aspiration and lumbar puncture in children and adolescents with leukemia. 1986.

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35

Chang, Mary P. Bacterial Meningitis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0005.

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Bacterial meningitis is a bacterial infection causing inflammation of the meninges, the lining around the brain and spinal cord. It is important for emergency physicians to recognize potential bacterial meningitis early. They are usually the providers that the patient will present to first. If the patient is critically ill and suspicion for meningitis is high, immediately give steroids followed by antibiotics and then pursue diagnostic workup. Lumbar puncture will aid in definitive diagnosis. If this procedure will be delayed and suspicion for bacterial meningitis is high, give dexamethasone followed by antibiotics, even in a currently stable patient. Meningitis is a treatable condition, and early intervention will have a great impact on reducing morbidity and mortality.
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36

Forsyth, Rob, and Richard Newton. Neurodiagnostic tools. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198784449.003.0002.

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This chapter explains the principles of how best to use the main diagnostic tools in paediatric neurology in the context of evidence-based medicine. The description of neuroradiology includes the principles of DWI, SWI, MRS, ASL and fMRI, and the usefulness of ultrasound, CT and PET scanning; neuroradiological anatomy, terminology, common incidental findings and normal myelination patterns. An approach to white matter and developmental brain abnormalities is depicted. Neurogenetic testing discusses the capabilities and limitations of microarray for Comparative Genomic Hybridization (copy-number variants), gene panel testing, and whole exome and whole genome next generation sequencing. The chapter offers the theory, practicality and pitfalls of electroencephalography, peripheral neurophysiology and evoked potential testing. Common practical procedures are described, including lumbar puncture, muscle biopsy and shunt tapping with an understanding of the place of special investigations on CSF, blood, urine, and skin. The scope of neuropsychological testing is described.
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37

Peck, Marcus, and Peter MacNaughton, eds. Focused Intensive Care Ultrasound. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198749080.001.0001.

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This book is written for clinicians who are new to ultrasound and those who want to progress further from the basics to more advanced-level scanning. Consequently, it covers a broad range of subjects, and its text is divided into five sections. Section 1 is imaging-based. Chapters in Section 1, such as physics, machine setting, and sonoanatomy, provide the foundation that underpins the rest of the book. Section 2 is structure-based. Chapters in Section 2 cover cardiac, lung, abdominal, and vascular anatomy and enable the reader to start scanning in these areas. Section 3 is problem-based. Chapters in Section 3 cover the major differential diagnoses and algorithmic approaches to ultrasound assessment of the most common clinical presentations, including shock, dyspnoea, trauma, cardiac arrest, sepsis, acute respiratory distress syndrome, and many more. Section 4 is procedure-based. Chapters in Section 4, such as thoracocentesis, lumbar puncture, and percutaneous tracheostomy, cover the technical and non-technical aspects of invasive procedures performed in critically ill patients. Section 5 is governance-based and covers how to deliver a safe and effective service.
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38

Granacher, Robert P. Neuropsychiatric Aspects Involving the Elderly and the Law. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0002.

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Neuropsychiatry has generally been concerned with the diagnosis and management of syndromes with productive symptoms (positive symptoms) such as hallucinations, mood changes, and delusions. This chapter focuses on the brain-based forensic issues before the law concerning the neuropsychiatry of the older patient. These include the forensic infinitives of legal cognitive capacity to be competent to be tried, enter a plea, be a witness, consent generally, enter a contract, make a will, resist undue influence, refuse treatment, give informed consent, have general competence, have specific competence, be fit for duty, be criminally responsible, be civilly committable, and resist elder abuse. Fundamentally, the forensic neuropsychiatric question is: does a brain disorder remove the individual capacity to understand, decide or act in a specific circumstance before the law? Thus, a well-planned forensic assessment of a geriatric person usually requires a neuromedical psychiatric examination model. This may include examinations, laboratory testing, structural neuroimaging, cognitive screening, and neuropsychological testing. It also may involve lumbar puncture functional neuroimaging and other neurodiagnostic testing.
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39

Bleck, Thomas P. Assessment and management of seizures in the critically ill. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0232.

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In previously conscious patients seizures are usually easily detected. Critically-ill patients are frequently sedated and a proportion are paralysed with neuromuscular blocking agents, in such patients it may be hard or impossible to detect seizures clinically. An urgent electroencephalogram (EEG) should be obtained whenever seizures are witness or suspected, especially if the patient does not rapidly return to baseline, when non-convulsive status epilepticus must be excluded. Unless the cause of the seizure activity is already known, an urgent CT, or MRI is indicated. If central nervous system infection is suspected a lumbar puncture may be needed. Status epilepticus is diagnosed when there is recurrent or continued seizure activity without intervening recovery. Most seizures are self-limiting and stop after 1–2 minutes, seizures that continue for more than 5 minutes should be treated. Treatment priorities for any seizure are to stop the patient hurting either themselves or anyone else. General supportive measures include attention to the airway, breathing, circulation, exclusion of hypoglycaemia and an EEG to exclude non-convulsive status epilepticus. A variety of drugs can be used to terminate seizures; parenteral benzodiazepines are the most commonly used agents although propofol and barbiturates are alternatives. Emergent endotracheal intubation may well be necessary, hypotension can be expected and may need treatment with intravenous fluids and vasopressors.
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40

Morrow, Connie Elizabeth. CORRELATES OF CHILD DISTRESS DURING LUMBAR PUNCTURES: PARENT BEHAVIOR AND PARENTING CHARACTERISTICS (MEDICAL PROCEDURES). 1992.

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41

Meyer, Mark J., and Norbert J. Weidner. Oncology Patient. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0042.

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The pediatric oncology population presents challenges to the anesthesiologist. Many of these patients undergo multiple lumbar punctures and bone marrow aspirations as part of their treatment protocol. Radiation therapy is another treatment modality that requires the assistance of an anesthesiologist to be successful for younger children. While seemingly minor procedures, they are a source of anxiety for patients and parents. Furthermore, patients can present with a number of physiological derangements such as anemia, coagulopathies, and toxicities from chemotherapeutic agents. Further, these patients are often infants and toddlers who require attention to their developmental level during anesthetic planning.
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42

O’Neal, M. Angela. A Lady with a Headache in the Second Trimester. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0014.

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This case illustrates a typical presentation of idiopathic intracranial hypertension (IIH) during pregnancy. The diagnostic criteria, complications, and treatment of the condition during pregnancy are explored. The major complication of IIH is visual loss. The International Headache Society 2013 criteria for idiopathic intracranial hypertension are: that the headache should remit after the CSF pressure is in the normal range, CSF pressure is greater than 250 mm, and the majority of patients have papilledema and other symptoms, which may include visual obscurations, pulsatile tinnitus, double vision, and neck or back pain. IIH treatment includes weight control, high-volume lumbar punctures, and medications.
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