Monitoring
Repeat lumbar punctures to monitor treatment are not necessary if the patient is improving. Indications for repeated lumbar puncture include no clinical response after 48 hours of appropriate antimicrobial therapy and cerebrospinal fluid shunt infection, to ensure that the infection is responding to therapy.[71]
Diagnostic lumbar puncture in adults: animated demonstration
How to perform a diagnostic lumbar puncture in adults. Includes a discussion of patient positioning, choice of needle, and measurement of opening and closing pressure.
All patients should be reviewed once a year to detect any long-term sequelae.
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