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How to use lumbar puncture manometry in children
  1. Jonathon AA Holland1,2,
  2. Jonathan P Funnell3,
  3. Rhea Mittal4,
  4. Deepa Krishnakumar2
  1. 1 Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK
  2. 2 Paediatric Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  3. 3 Department of Neurosurgery, St George's Hospital, London, UK
  4. 4 School of Clinical Medicine, University of Cambridge, Cambridge, UK
  1. Correspondence to Dr Jonathon AA Holland, Paediatric Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK; jonathon.holland{at}nhs.net

Abstract

Measurement of cerebrospinal fluid pressure through lumbar puncture (LP) manometry is an essential practical skill all paediatricians should possess competency in. The ability to perform manometry is crucial in the diagnosis of idiopathic intracranial hypertension and can provide critical information on raised (or lowered) intracranial pressure in other clinical scenarios. Practitioners should be familiar with the procedure and in particular with equipment available to them locally. In this article, we will describe an approach to LP manometry. The online supplemental material includes an instructional video as well as supporting practical information.

  • Paediatrics
  • Neurology

https://doi.org/10.1136/archdischild-2022-324881

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    Footnotes

    • Contributors All authors conceived the article. JAAH and JF wrote and edited the draft, which was reviewed by all authors. DK is the guarantor.

    • Funding JAAH is funded by an Action Medical Research and British Paediatric Neurology Association Research Training Fellowship.Many thanks to IIH UK for funding the Article Processing Charge, enabling open access publication.

    • Disclaimer The funders have had no involvement in the creation of this article.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.