Matas Sandro Luiz de Andrade
Arq Neuropsiquiatr. 2013 Sep;71(9B):681-4. doi: 10.1590/0004-282X20130150.
Diagnostic lumbar puncture is essential to the diagnosis of central nervous system infections, subarachnoid haemorrhage and others neurological diseases. Myeloradicular involvement or life-threatening adverse events due to the procedure are rare, but less severe complications are more frequent. Post-lumbar puncture headache is the most common complication, by spinal fluid leakage due to delayed closure of a dural defect. Therefore, the development of fine needles, with differentiated atraumatic bevel, has contributed to minimize that problem. These generically called atraumatic needles cause less deformation of the dura mater then the Quincke(®) ones. So, why don't we use these atraumatic needles?
诊断性腰椎穿刺对于中枢神经系统感染、蛛网膜下腔出血及其他神经系统疾病的诊断至关重要。该操作导致的脊髓神经根受累或危及生命的不良事件很少见,但不太严重的并发症更为常见。腰穿后头痛是最常见的并发症,是由于硬脑膜缺损延迟闭合导致脑脊液漏所致。因此,研制具有不同无创伤斜面的细针有助于将该问题降至最低。这些通常被称为无创伤针的针导致硬脑膜的变形比昆克(®)针小。那么,我们为什么不使用这些无创伤针呢?