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Spinal Tap
WHAT YOU SHOULD
KNOW
In a spinal tap--also known as a lumbar (LUM-bar)
puncture--the doctor removes a small amount of the fluid from
the spine for testing in a laboratory.
Risks
There is a possibility of
headache, backache, or infection following a spinal tap. Other
risks include bleeding, an injury to a disk in your spine, or
leakage of the spinal fluid. There is a very small chance of
problems that could hurt the brain and spinal
cord.
IF YOU'RE HEADING FOR THE
HOSPITAL...
Before You Go
-
You may follow your normal diet before this
procedure.
What to Expect While You're
There
You may encounter the following
procedures and equipment during your stay:
-
Taking Your Vital Signs: These include your
temperature, blood pressure, pulse (counting your
heartbeats), and respirations (counting your breaths). A
stethoscope is used to listen to your heart and lungs. Your
blood pressure is taken by wrapping a cuff around your
arm.
-
Urinating: You will be asked to empty your bladder
before the test begins.
-
During the Lumbar Puncture:
-
Typically, you will be asked to lie on your side
with your knees pulled up to your chest. You may have a
pillow under your head and will be covered with a sheet.
Alternatively, the doctor may want you to sit in a chair
with your head bent toward your
knees.
-
You will be asked not to move. Your lower back will
be washed with a cleaning agent. To lessen your pain, you
will be given a shot of numbing
medicine.
-
Your doctor will carefully put a needle into a
space between the vertebrae (VER-tuh-bray) in your lower
back. You may feel some pressure as the needle enters
your back. Tell the doctor if you feel
pain.
-
The doctor will test the pressure in your spinal
canal. Before the procedure continues, you can stretch
your legs out.
-
A sample of your cerebrospinal
(SER-ee-broh-SPINE-ul) fluid will be taken and sent to
the laboratory for testing. (This fluid is also called
""CSF'' or spinal fluid.)
-
The lumbar puncture will take about 15 to 20
minutes. A small dressing will be put on your back after
the test.
-
To avoid a headache, you must lie flat for several
hours after the test. You may eat and
drink.
After You Leave
-
You may resume normal activities as soon as you feel
better.
-
Keep the area clean and dry for 24 hours. When you
shower, place a piece of waterproof material, such as
plastic, over the bandage. Keep the area covered with a
bandage or gauze dressing for 1 to 2
days.
-
Drink 6 to 8 glasses of water a day for 1 to 2
days.
Call Your Doctor If...
-
You feel severe pain in your
back.
-
You have any bleeding other than a small spot on your
bandage.
-
You develop a high temperature.
-
You have a headache for longer than 24
hours.
Seek Care Immediately If...
-
You have a severe headache that is not relieved by
lying down.
-
You have any numbness or tingling in your
legs.
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