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Consensus guidelines for lumbar puncture in patients with neurological diseases.
Engelborghs, Sebastiaan; Niemantsverdriet, Ellis; Struyfs, Hanne; Blennow, Kaj; Brouns, Raf; Comabella, Manuel; Dujmovic, Irena; van der Flier, Wiesje; Frölich, Lutz; Galimberti, Daniela; Gnanapavan, Sharmilee; Hemmer, Bernhard; Hoff, Erik; Hort, Jakub; Iacobaeus, Ellen; Ingelsson, Martin; Jan de Jong, Frank; Jonsson, Michael; Khalil, Michael; Kuhle, Jens; Lleó, Alberto; de Mendonça, Alexandre; Molinuevo, José Luis; Nagels, Guy; Paquet, Claire; Parnetti, Lucilla; Roks, Gerwin; Rosa-Neto, Pedro; Scheltens, Philip; Skårsgard, Constance; Stomrud, Erik; Tumani, Hayrettin; Visser, Pieter Jelle; Wallin, Anders; Winblad, Bengt; Zetterberg, Henrik; Duits, Flora; Teunissen, Charlotte E.
Affiliation
  • Engelborghs S; Reference Center for Biological Markers of Dementia (BIODEM), Department of Biomedical Sciences, Institute Born-Bunge, University of Antwerp, Antwerp, Belgium.
  • Niemantsverdriet E; Department of Neurology and Memory Clinic, Hospital Network Antwerp (ZNA) Middelheim and Hoge Beuken, Antwerp, Belgium.
  • Struyfs H; Reference Center for Biological Markers of Dementia (BIODEM), Department of Biomedical Sciences, Institute Born-Bunge, University of Antwerp, Antwerp, Belgium.
  • Blennow K; Reference Center for Biological Markers of Dementia (BIODEM), Department of Biomedical Sciences, Institute Born-Bunge, University of Antwerp, Antwerp, Belgium.
  • Brouns R; Clinical Neurochemistry Laboratory, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden.
  • Comabella M; Department of Neurology, Universitair Ziekenhuis Brussel (UZ Brussel), Center for Neurosciences (C4N), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
  • Dujmovic I; Servei de Neurologia-Neuroimmunologia, Centre d'Esclerosi Múltiple de Catalunya (Cemcat), Institut de Receca Vall d'Hebron (VHIR), Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
  • van der Flier W; Clinic of Neurology, Clinical Centre of Serbia, Department of Neurology, Faculty of Medicine, University of Belgrade School of Medicine, Belgrade, Serbia.
  • Frölich L; Alzheimer center and Department of Neurology, Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
  • Galimberti D; Department of Geriatric Psychiatry, Central Institute of Mental Health, Medical Faculty, Mannheim/Heidelberg University, Mannheim, Germany.
  • Gnanapavan S; Neurology Unit, Department of Pathophysiology and Transplantation, University of Milan, Fondazione Ca' Granda, IRCCS Ospedale Policlinico, Milan, Italy.
  • Hemmer B; Department of Neuroscience and Trauma, Blizard Institute, Queen Mary University of London, London, United Kingdom.
  • Hoff E; Department of Neurology, Technische Universität München, Munich, Germany.
  • Hort J; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.
  • Iacobaeus E; Department of Neurology, Atrium Medisch Centrum Parkstad, Heerlen, The Netherlands.
  • Ingelsson M; Memory Disorders Clinic, Department of Neurology, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic.
  • Jan de Jong F; International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic.
  • Jonsson M; Department of Clinical Neuroscience, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
  • Khalil M; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
  • Kuhle J; Department of Neurology, Erasmus Medical Center, Rotterdam, The Netherlands.
  • Lleó A; Memory Clinic, Department of Neuropsychiatry, Sahlgrenska University Hospital, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden.
  • de Mendonça A; Department of Neurology, Medical University Graz, Graz, Austria.
  • Molinuevo JL; Department of Neurology, University Hospital Basel, Basel, Switzerland.
  • Nagels G; Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
  • Paquet C; Centro de Investigación Biomédica en Red en enfermedades Neurodegenerativas, CIBERNED, Madrid, Spain.
  • Parnetti L; Laboratory of Neurosciences, Department of Molecular Medicine and Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
  • Roks G; Alzheimer's disease and other cognitive disorders unit, Neurology Service, Hospital Clinic i Universitari, IDIBAPS, Barcelona, Spain.
  • Rosa-Neto P; Department of Neurology, Universitair Ziekenhuis Brussel (UZ Brussel), Center for Neurosciences (C4N), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
  • Scheltens P; Faculté de Psychologie et des sciences de l'éducation, UMons, Mons, Belgium.
  • Skårsgard C; National MS Center Melsbroek, Brussels, Belgium.
  • Stomrud E; Research Memory Center Lariboisière Hospital University Paris Diderot INSERMU942, Paris, France.
  • Tumani H; Section of Neurology, Centre for Memory Disturbances, Department of Medicine, University of Perugia, Perugia, Italy.
  • Visser PJ; Department of Neurology, St Elisabeth Ziekenhuis, Tilburg, The Netherlands.
  • Wallin A; Departments of Neurology & Neurosurgery and Psychiatry, McGill Centre for Studies in Aging, Douglas Hospital Research Center, McGill University, Montreal, Canada.
  • Winblad B; Departments of Psychiatry, McGill Centre for Studies in Aging, Douglas Hospital Research Center, McGill University, Montreal, Canada.
  • Zetterberg H; Alzheimer center and Department of Neurology, Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
  • Duits F; Department of Geriatrics, Kalmar County Hospital, Kalmar, Sweden.
  • Teunissen CE; Clinical Memory Research Unit, Department of Clinical Sciences, Lund University, Lund, Sweden.
Alzheimers Dement (Amst) ; 8: 111-126, 2017.
Article in En | MEDLINE | ID: mdl-28603768
INTRODUCTION: Cerebrospinal fluid collection by lumbar puncture (LP) is performed in the diagnostic workup of several neurological brain diseases. Reluctance to perform the procedure is among others due to a lack of standards and guidelines to minimize the risk of complications, such as post-LP headache or back pain. METHODS: We provide consensus guidelines for the LP procedure to minimize the risk of complications. The recommendations are based on (1) data from a large multicenter LP feasibility study (evidence level II-2), (2) systematic literature review on LP needle characteristics and post-LP complications (evidence level II-2), (3) discussion of best practice within the Joint Programme Neurodegenerative Disease Research Biomarkers for Alzheimer's disease and Parkinson's Disease and Biomarkers for Multiple Sclerosis consortia (evidence level III). RESULTS: Our consensus guidelines address contraindications, as well as patient-related and procedure-related risk factors that can influence the development of post-LP complications. DISCUSSION: When an LP is performed correctly, the procedure is well tolerated and accepted with a low complication rate.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Clinical_trials / Guideline / Qualitative_research / Risk_factors_studies Language: En Journal: Alzheimers Dement (Amst) Year: 2017 Type: Article Affiliation country: Belgium
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Clinical_trials / Guideline / Qualitative_research / Risk_factors_studies Language: En Journal: Alzheimers Dement (Amst) Year: 2017 Type: Article Affiliation country: Belgium