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Chapter 8: Lumbar Cerebrospinal Fluid Taps 91

82 hours of myelography, and CSF protein elevation resolved 6 De Lahunta A, Glass E. Cerebrospinal fluid and hydrocephalus. In: De Lahunta A,
after 8 days [20]. However, a lumbar sample cannot always be Glass E (eds) Veterinary Neuroanatomy and Clinical Neurology, 3rd edn. St Louis,
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the dilemma of delaying the myelographic procedure, and 8 Batnitzsky S, Keucher TR, Mealey J Jr, Campbell RL. Iatrogenic intraspinal epider-
potential emergency decompressive surgery, until a cerebel- moid tumors. JAMA 1988;238:148–150.
lomedullary sample is obtained, or to continue the myelo- 9 Per H, Kumandaş S, Gümüş H, Yikilmaz A, Kurtsoy A. Iatrogenic epidermoid
graphic study without collecting CSF. Obviously, clinician tumor: late complication of lumbar puncture. J Child Neurol 2008;22:
332–336.
experience and knowledge of the most likely differential diag- 10 Armon C, Evans RW. Addendum to assessment: prevention of post‐lumbar puncture
nosis and adequate consideration of potential advantages and headaches: report of the Therapeutics and Technology Assessment Subcommittee of
disadvantages are essential. the American Academy of Neurology. Neurology 2005;65:510–512.
3 Radiculopathies: meninges enclose the nerve roots distally until they 11 Hammond ER, Wang Z, Bhulani N, McArthur JC, Levy M. Needle type and the risk
become peripheral nerves. Therefore, diseases affecting the spinal of post‐lumbar puncture headache in the outpatient neurology clinic. J Neurol Sci
2011;306:24–28.
nerve roots may alter the CSF, especially polyradiculoneuritis. 12 Puggioni A, Arnett R, Clegg T, Glyde M, Tobin E, McAllister H. Influence of patient
4 Cerebellomedullary puncture is contraindicated due to anatomical positioning on the L5–L6 mid‐laminar distance. Vet Radiol Ultrasound
or mechanical restrictions, mainly atlantoaxial subluxation. 2006;48:449–452.
13 Etienne A, Peeters D, Busoni V. Ultrasonographic percutaneous anatomy of the
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Video clips to accompany this book can be found on Radiol Ultrasound 201;51:528–532.
the companion website at: 14 Sternbach G. Lumbar puncture. J Emerg Med 1985;2:199–203.
15 Platt SR, Dennis R, Murphy K, De Stefani A. Hematomyelia secondary to lumbar
www.wiley.com/go/shores/neurosurgery cerebrospinal fluid acquisition in a dog. Vet Radiol Ultrasound 2005;46:
468–481.
16 Packer RA, Bergman RL, Coates JR et al. Intracranial subarachnoid hemorrhage fol-
lowing lumbar myelography in two dogs. Vet Radiol Ultrasound 2008;48:323–328.
17 Vernau W, Vernau KA, Bailey CS. Cerebrospinal fluid. In: Kaneko JJ, Harvey JW,
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