Cerebrospinal Fluid Leakage Post-Lumbar Puncture: A Narrative Review

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ID: 311524
2025
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Abstract
Cerebrospinal fluid (CSF) is critical in maintaining brain interstitial fluid balance and providing hydromechanical protection. Lumbar puncture (LP) is a common invasive procedure for obtaining CSF samples to evaluate central nervous system infections and cancers and measure intracranial pressure. While LP is generally considered safe, it is associated with both minor and major complications. Post-LP meningitis occurs in approximately 50% of spinal anesthesia cases and 9% of diagnostic LPs. Additionally, over 70% of diagnostic LPs result in minor bleeding, which can lead to serious outcomes such as spinal epidural hematoma, nerve damage, or paralysis. Significant consequences of LP include headaches and hearing loss; however, other rare complications, such as cerebral herniation and CSF leak syndrome, must be considered carefully. This review synthesizes findings from multiple studies published in PubMed, Google Scholar, and Scopus, highlighting the need for further research on the complications and interventions related to this commonly performed procedure.
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Authors Elmukhtar Habas, Khaled Alarbi, Amnna Rayani, Ala Habas, Eshrak Habas, Kalifa Farfar, Aml Habas, Almehdi Errayes, Khawla Alzaitoni, Gamal Alfitori
Journal Yemen Journal of Medicine
Year 2025
DOI
10.63475/yjm.v4i1.0074
URL
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