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Lumbar Puncture - Medical Malpractice Lawyer

LEGAL HELPLINE: ☎ 855 804 7125

If you choose our medical malpractice lawyers to represent you in your Lumbar Puncture compensation claim, we will provide committed and vigorous representation on your behalf. You will receive a complete professional service from lawyers who deal with claiming compensation for Lumbar Puncture errors caused as a result of a medical malpractice. If you would like advice at no cost without obligation from a medical malpractice lawyer just call the helpline or complete the contact form or email our offices and a lumbar puncture medical malpractice lawyer will telephone you at the first possible opportunity.
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Lumbar Puncture - Overview

A lumbar puncture, also called a spinal tap or LP, can be diagnostic or therapeutic. It is performed under aseptic technique and local anesthesia to make it as painless as possible. The procedure involves inserting a hollow needle into the subarachnoid space so as to get a sampling of fluid from around the spinal cord.

The main diagnostic purpose of a lumbar puncture us to collect cerebrospinal fluid to check for cancer, infections or inflammations around the spinal cord. The main infection is meningitis, an infection of the meninges, which can be life threatening. Another disease looked for in an LP is a subarachnoid hemorrhage, benign intracranial hypertension and hydrocephalus. Spinal taps are often used in infants to rule out fever of unknown origin.

Lumbar punctures can be used for therapeutic reasons. For example, it can be used to inject medications into the spinal cavity. Some of these medications include pain medication in spinal anesthesia and in the use of chemotherapy. LPs can be used as management of increased intracranial pressure as when a person is suffering from cryptococcal meningitis.

There are reasons behind not doing a lumbar puncture. These include the following:

When performing an LP, the patient is placed on his or her side or sitting up with the spine bent forward. The patient is curled up into a fetal position as much as possible. The lumbar area is prepped with betadine and anesthetized with local anesthesia. A spinal needle is pushed in until there are two “gives” indicating the ligamentum flavum and the dura mater are penetrated. This automatically pushes through the arachnoid membrane and into the spinal fluid. The needle is then used to collect spinal fluid into several vials to be checked for various things. The opening pressure is sometimes determined before any fluid is taken out. This is done using a manometer. When all the fluid has been collected, the hollow needle is removed and a bandage is applied. The patient must lie flat for 6 hours following the procedure.

The upright position for doing LPs is preferred over the side lying position because there is less distortion of the spinal anatomy and fluid is more easily withdrawn. It is better done on those people who are obese because side lying produces scoliosis in these people. If the stylet must be reintroduced during the procedure, there is an increased rate of headaches after the procedure.

There are several things that go into the analysis of the cerebrospinal fluid. The first is the pressure determination. Increased cerebrospinal fluid pressure is seen in a number of infections, cerebral edema, subarachnoid hemorrhage and many other diseases. If abnormal, it is just one measure that says something abnormal is going on. Decreased CSF can mean a number of things, including severe dehydration.

Cell counts are important. If there are a large amount of granulocytes in the cerebral spinal fluid, it usually means meningitis. It can also mean the person has had a number of spinal taps recently, leukemia, recent seizure or metastatic cancer in the spinal area. If peripheral blood contaminates the CSF, there will be white blood cells and red blood cells both in the fluid. Chewed up erythrocytes means there has been a hemorrhage prior to the spinal tap.

The cerebrospinal fluid can be sent for Gram staining to look for bacterial meningitis. Polymerase chain reaction can be done to diagnose other types of infections of the CSF. There are antibody tests to check for things like Lyme disease and neurosyphilis.

There are chemical test for things like glucose, found decreased in certain diseases and increased in others, particularly diabetes, and glutamine, which is found increased in certain types of encephalitis.

Medical Malpractice Lawyers

The medical profession which includes doctors, nurses and hospital technicians usually provides a caring service with a high standard of excellence however there are occasions when things do go wrong. Our litigation service is completely free and our lawyers will deal with your case using a contingency fee arrangement which means that if you don’t succeed in receiving a financial settlement then your lumbar puncture lawyer won't get paid.

LEGAL HELPLINE: ☎ 855 804 7125

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The author of the substantive medical writing on this website is Dr. Christine Traxler MD whose biography can be read here