In craniocerebral trauma, lumbar puncture is essential in only one of the following
To confirm raised intracranial tension
In prolonged unconsciousness
When there is papilloedema
When meningitis is suspected
(D) When meningitis is suspected # BACTERIAL MENINGITIS, although potentially a life-threatening infection, seldom requires neurosurgical intervention.> Treatment involves confirming diagnosis & identifying organism by a CSF sample, usually via lumbar puncture.> Broad-spectrum intravenous (i.v.) antibiotics with good CSF penetration should then be commenced without delay.> Ceftriaxone 2g 12 hourly & metronidazole 400 mg 8 hourly & adjusted as cultures & sensitivities become available.
Miscellaneous