Abstract

The use of lumbar puncture as an important aid in the diagnosis of lesions of the central nervous system has become much more frequent within the past ten years; no longer is the test considered an operation, deferred until the increasing severity of the patient's condition demands an accurate diagnosis and then often used as a last resort. Even today, however, in many hospitals lumbar puncture is employed only for diagnostic purposes and only in selected conditions, but the use of repeated lumbar punctures of spinal drainage in acute traumatic intracranial lesions is considered dangerous and radical! During the past twenty years in this clinic, the use of diagnostic lumbar punctures has become progressively more frequent and earlier, as a part of the routine examination of any patient having complaints severe enough to warrant reference to a neurologic clinic. 1 As a diagnostic aid, there has been little or no

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