Ver el código de «CT before lumbar puncture»

LP without CT is likely safe if:



* History 
* Age < 60
* Not immunocompromised
* No history of CNS disease
* No seizure within 1 week of presentation
* Physical Exam
* No ALOC
* No inability to answer two consecutive questions successfully
* No inability to follow two consecutive commands successfully
* No gaze palsy
* No abnormal visual fields
* No facial palsy
* No arm drift
* No leg drift
* No abnormal language 
 



* If none of the above, chance of normal ct is 97%, none of the patients herniated 
* CT before LP often results in longer average delay to abx
 

Source:

NEJM 2001; 345; 1727-33




[[Category:Neuro]]