Successful lumbar puncture with Taylor's approach for the di
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Abstract :
Meningitis and encephalitis are the neurological emergencies. As the clinical findings lack specificity, once suspected, cerebrospinal fluid (CSF) analysis should be performed and parenteral antimicrobials should be administered without delay. Lumbar puncture can be technically challenging in patients with ankylosing spondylitis due to ossification of ligaments and obliteration of interspinous spaces. Here, we present a case of ankylosing spondylitis where attempts for lumbar puncture by conventional approach failed. CSF sample was successfully obtained by Taylor's approach.

Case :
A 42-year-old gentleman, weighing around 50 kg, presented with the history of headache, fever (up to 102° F), and altered level of consciousness of 1-day duration. On examination, he was confused and neck stiffness was present. There were no focal neurological deficits and papilloedema was absent....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4637964/
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