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Clinical Pediatrics
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To Tap or Not To Tap

What Are the Best Indicators for Performing a Lumbar Puncture in an Outpatient Child?

V.J. Cururaj, M.D.

State University of New York-Downstate Medical Center and Kings County Hospital, 450 Clarkson Avenue, Brooklyn, N.Y. 11203

Raymond M. Russo, M.D.

State University of New York-Downstate Medical Center and Kings County Hospital, 450 Clarkson Avenue, Brooklyn, N.Y. 11203

John E. Allen, M.D.

State University of New York-Downstate Medical Center and Kings County Hospital, 450 Clarkson Avenue, Brooklyn, N.Y. 11203

Rozalia Herszkowicz, M.D.

State University of New York-Downstate Medical Center and Kings County Hospital, 450 Clarkson Avenue, Brooklyn, N.Y. 11203

A survey of the signs and symptoms of 709 children subjected to lumbar puncture on the suspicion of meningitis did not permit construction of a pattern which could identify the existence of meningitis in a suspected case. The predictive value for the symptoms of lethargy, headache, and convulsion associated with fever became meaningful only when the symp toms were associated with one or more signs of meningeal irritation.

Clinical Pediatrics, Vol. 12, No. 9, 488-493 (1973)
DOI: 10.1177/000992287301200906
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This article has been cited by other articles:


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 CLIN PEDIATRHome page
Y. Haimi-Cohen, J. Amir, L. Harel, R. Straussberg, and Y. Varsano
Parental Presence During Lumbar Puncture: Anxiety and Attitude Toward the Procedure
Clinical Pediatrics, January 1, 1996; 35(1): 2 - 4.
[Abstract] [PDF]

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 CLIN PEDIATRHome page
V. J. Gururaj
Febrile Seizures: Current Concepts
Clinical Pediatrics, November 1, 1980; 19(11): 731 - 738.
[Abstract] [PDF]

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 CLIN PEDIATRHome page
J.S. Surpure
Febrile Convulsions: What Happens to the Infant Admitted to the Hospital
Clinical Pediatrics, May 1, 1980; 19(5): 361 - 362.
[Abstract] [PDF]