This entry was posted on Tuesday, May 12th, 2009 at 7:00 am and is filed under Cancer. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.


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CENTRAL NERVOUS SYSTEM METASTASES – LUMBAR PUNCTURE
These X-rays and scans show up cancer lumps but do not help much when looking for meningeal involvement. To check for this a lumbar puncture is necessary. Under local anaesthetic, a fine needle is inserted into the fluid which surrounds and cushions the spinal cord and brain (the cerebro-spinal fluid or CSF). The pressure in the CSF can be measured through the needle and is an indication of the pressure throughout the central nervous system. A sample of fluid can be withdrawn for testing, including examination under the microscope for cancer cells. When done correctly, a lumbar puncture is not much more painful than a blood test. Headache can occur after a lumbar puncture. These headaches are thought to be due to CSF continuing to leak out through the tiny hole in the meningeal covering. To reduce the chance of this happening, you may be advised to lie flat for some hours after the lumbar puncture.
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