The full content of Annals is available to subscribers

Subscribe/Learn More  >
Position Papers |

The Diagnostic Spinal Tap

[+] Article, Author, and Disclosure Information

▸Requests for reprints should be addressed to Linda Johnson White; Division of Scientific Activities, Health and Public Policy Committee, American College of Physicians, 4200 Pine Street; Philadelphia, PA 19104.

© 1986 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1986;104(6):880-885. doi:10.7326/0003-4819-104-6-880
Text Size: A A A
This excerpt has been provided in the absence of an abstract.

Since its description in the late 1800s (1, 2), the spinal tap, or lumbar puncture, has become a mainstay of neurologic diagnosis. As with other body fluids, examination of the cerebrospinal fluid has a number of applications. Because only a few applications yield a precise diagnosis, the lumbar puncture is most useful when cerebrospinal fluid patterns are related to clinical findings.

The basic techniques for doing the lumbar puncture have been well described (3, 4) and include several important components. Patient reassurance and proper positioning are important. The most commonly used cerebrospinal fluid tests include cell count (both total


First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Journal Club
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.