LUMBAR PUNCTURE-ABSOLUTE CONTRAINDICATIONS

SUMMARY

1. Possible raised intracranial pressure (ICP) with risk for cerebral herniation due to obstructive hydrocephalus, cerebral edema, or space-occupying lesion.
2. Thrombocytopenia or other bleeding diathesis, including ongoing anticoagulant therapy.

3. Suspected spinal epidural abscess.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].