Indikasi Pungsi Lumbal
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Diagnostik:
- Infeksi pada susunan saraf pusat, seperti suspek Meningitis, atau Ensefalitis
- Suspek Perdarahan Subaraknoid, dengan CT Scan yang normal
- Inflamasi pada sistem saraf pusat, seperti pada multipel sklerosis
- Suspek penyakit susunan saraf pusat, seperti sindrom Guillain-Barre, meningitis karsinomatosa
- Kanker, contohnya karsinomatosis leptomeningeal, meningitis limfomatosa/meningitis leukemik
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Terapeutik:
- Terapi simtomatik Pseudotumor Cerebri
- Anestesi Spinal
- Kemoterapi/antibiotika intratekal
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Diagnosis dan terapi:
- Hipertensi intrakranial idiopatik
- Hipotensi intrakranial spontan
- Hidrosefalus dengan tekanan yang normal
- Media kontras pada mielografi, atau sisternografi
Referensi
1. Australian Government: National Health and Medical Research Council. (Jun 2011). Gloves, from https://www.nhmrc.gov.au/book/australian-guidelines-prevention-and-control-infection-healthcare-2010/b1-2-5-gloves
2. Baraff, L. J., Byyny, R. L., Probst, M. A., Salamon, N., Linetsky, M., & Mower, W. R. (2010). Prevalence of herniation and intracranial shift on cranial tomography in patients with subarachnoid hemorrhage and a normal neurologic examination. Acad Emerg Med, 17(4), 423-428. doi: 10.1111/j.1553-2712.2010.00704.x
3. Boesiger, B. M., & Shiber, J. R. (2005). Subarachnoid hemorrhage diagnosis by computed tomography and lumbar puncture: are fifth generation CT scanners better at identifying subarachnoid hemorrhage? J Emerg Med, 29(1), 23-27. doi: 10.1016/j.jemermed.2005.02.002
4. Chern, J. J., Tubbs, R. S., Gordon, A. S., Donnithorne, K. J., & Oakes, W. J. (2012). Management of pediatric patients with pseudotumor cerebri [Abstract]. Childs Nerv Syst, 28(4), 575-578. doi: 10.1007/s00381-011-1657-9
5. Cooper, N. (2011). Lumbar puncture. Acute Med, 10(4), 188-193
6. Doherty, C. M., & Forbes, R. B. (2014). Diagnostic Lumbar Puncture. The Ulster Medical Journal, 83(2), 93-102
7. Ebinger, F., Kosel, C., Pietz, J., & Rating, D. (2004). Strict bed rest following lumbar puncture in children and adolescents is of no benefit [Abstract]. Neurology, 62(6), 1003-1005
8. Erturk, E., & Kutanis, D. (2016). Post Dural Puncture Headache. Int J Anesth Res, 4(11), 348-351. doi: dx.doi.org/10.19070/2332-2780-1600072
9. Gee, C., Dawson, M., Bledsoe, J., Ledyard, H., Phanthavady, T., Youngquist, S., et a. (2012). Sensitivity of newer-generation computed tomography scanners for subarachnoid hemorrhage: a Bayesian analysis. J Emerg Med, 43(1), 13-18. doi: 10.1016/j.jemermed.2011.09.012
10. Hasbun, R., Abrahams, J., Jekel, J., & Quagliarello, V. J. (2001). Computed tomography of the head before lumbar puncture in adults with suspected meningitis. N Engl J Med, 345(24), 1727-1733. doi: 10.1056/NEJMoa010399
11. Hudgins, P. A., Fountain, A. J., Chapman, P. R., & Shah, L. M. (2017). Difficult Lumbar Puncture: Pitfalls and Tips from the Trenches. [10.3174/ajnr.A5128]. American Journal of Neuroradiology, 38(7), 1276
12. Ko, M. W., & Liu, G. T. (2010). Pediatric Idiopathic Intracranial Hypertension (Pseudotumor Cerebri). Hormone Research in Paediatrics, 74(6), 381-389
13. Kuntz, K. M., Kokmen, E., Stevens, J. C., Miller, P., Offord, K. P., & Ho, M. M. (1992). Post-lumbar puncture headaches: experience in 501 consecutive procedures [Abstract]. Neurology, 42(10), 1884-1887
14. Kwak, K.-H. (2017). Postdural puncture headache. Korean Journal of Anesthesiology, 70(2), 136-143. doi: 10.4097/kjae.2017.70.2.136
15. Lambert, D. H., Hurley, R. J., Hertwig, L., & Datta, S. (1997). Role of needle gauge and tip configuration in the production of lumbar puncture headache {Abstract]. Reg Anesth, 22(1), 66-72
16. Lavi, R., Rowe, J. M., & Avivi, I. (2007). Traumatic vs. atraumatic 22 G needle for therapeutic and diagnostic lumbar puncture in the hematologic patient: a prospective clinical trial. Haematologica, 92(7), 1007-1008
17. Lavi, R., Yarnitsky, D., Rowe, J. M., Weissman, A., Segal, D., & Avivi, I. (2006). Standard vs atraumatic Whitacre needle for diagnostic lumbar puncture: a randomized trial [Abstract]. Neurology, 67(8), 1492-1494. doi: 10.1212/01.wnl.0000240054.40274.8a
18. Malhotra, R., & Kelly, S. (2012). A survey of aseptic technique when performing lumbar puncture: a comparison of medical and anaesthetic trainees. British Journal of Medical Practitioners, 5(1), a503
19. Teece, S., & Crawford, I. (2002). Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Bed rest after lumbar puncture. Emerg Med J, 19(5), 432-433
20. The Royal Children's Hospital Melbourne. (Aug 2017). Clinical Practice Guidelines: Lumbar Puncture, from http://www.rch.org.au/clinicalguide/guideline_index/Lumbar_Puncture_Guideline/
21. Tung, C. E., So, Y. T., & Lansberg, M. G. (2012). Cost comparison between the atraumatic and cutting lumbar puncture needles. Neurology, 78(2), 109-113. doi: 10.1212/WNL.0b013e31823efca9
22. Vitaliti, G., Pavone, P., Matin, N., Tabatabaie, O., Cocuzza, S., Vecchio, et al. (2016). Therapeutic approaches to pediatric pseudotumor cerebri: New insights from literature data. International Journal of Immunopathology and Pharmacology, 30(1), 94-97. doi: 10.1177/0394632016681578
23. Watanabe, L. (2004). Epidural Blood and Fibrin Patches. In B. A. Johnson, P. S. Staats, F. T. Wetzel & J. M. Mathis (Eds.), Image-Guided Spine Interventions (pp. 322-333). New York, NY: Springer New York
