Other than diagnosis of meningoencephalitis what are the indications for lumbar puncture?

Diagnostic
  • Investigate meningoencephalitis
  • Investigate neurological disorders max 1:
    • Multiple Sclerosis
    • Guillain Barre
    • Mitochondrial Disorders
    • Paraneoplastic Syndromes
  • Investigate subarachnoid haemorrhage 1
  • Investigate disorders of intracranial pressure 1
  • Administer diagnostic agents 1:
    • Contrast media in myelography
Therapeutic
  • Spinal anaesthesia1
  • Administer therapeutic agents max 1:
    • Intrathecal chemotherapy
    • Intrathecal antibiotics
    • Intrathecal baclofen
  • Manage specific disorders max 1:
    • Benign intracranial hypertension
    • Acute communicating hydrocephalus
    • Cryptococcal meningitis in HIV infection
    • CSF leak