How to use lumbar puncture manometry in children

Arch Dis Child Educ Pract Ed. 2023 Oct;108(5):340-346. doi: 10.1136/archdischild-2022-324881. Epub 2023 Jan 20.

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.

Keywords: Neurology; Paediatrics.

MeSH terms

  • Child
  • Humans
  • Intracranial Pressure*
  • Manometry
  • Spinal Puncture* / methods