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14 Possible Causes for Lumbar Puncture Abnormal, Pupillary Abnormality, Thoracic Aortic Dissection

  • Subarachnoid Hemorrhage

    Interestingly, the median time to lumbar puncture was longer in patients with abnormal results on lumbar puncture compared with those with normal results.[bmj.com] KEYWORDS: Acute aortic dissection; Aneurysm; computed tomography angiography; subarachnoid hemorrhage[ncbi.nlm.nih.gov] Of patients with confirmed SAH, 76 (14.8%) had negative CT scan but positive lumbar puncture (group 2); 46.1% of patients in this group had vascular abnormalities.[ncbi.nlm.nih.gov]

  • Syphilis

    On examination there was a sluggish right pupillary response but no other abnormal findings. Serum and CSF syphilis serology were both strongly positive.[ncbi.nlm.nih.gov] Patients with neurosyphilis and abnormal CSF examinations should have a lumbar puncture repeated at 6-month intervals after completion of treatment until CSF parameters normalize[canada.ca] Tremors of the mouth, tongue, outstretched hands, and whole body may occur; other signs include pupillary abnormalities, dysarthria, hyperreflexia, and, in some patients,[msdmanuals.com]

  • Epidural Hematoma

    Lumbar Puncture: Technique, Indications, Contraindications, and Complications in Adults. Topic 4832, Version 14.0. In: Aminoff, MJ (Section Ed.) UpToDate.[coreem.net] Factors that may influence outcome are as follows: Patient age Time lapsed between injury and treatment Immediate coma or lucid interval Presence of pupillary abnormalities[ncbi.nlm.nih.gov] An initial diagnosis of aortic dissection with an ischaemic paraplegia was made.[jnnp.bmj.com]

  • Syphilitic Meningitis

    […] aortic aneurysm, aortic regurgitation, nonatherosclerotic coronary artery disease Gummatous syphilis Neurosyphilis Asymptomatic neurosyphilis Tabes dorsalis: lightning pains, pupillary[aafp.org] A serum RPR titer of 1:32 seems to be the best cutoff point to decide whether or not to perform a lumbar puncture. [46] Abnormal CSF findings can then be serially monitored[emedicine.medscape.com] The most feared complication of cardiovascular syphilis is aortic dissection or ruptured thoracic aneurysm. (5) Tertiary Syphilis – Neurologic Manifestations In the tertiary[emdocs.net]

  • Stroke

    Other contraindications to fibrinolysis in stroke include recent or active bleeding or a known propensity for abnormal bleeding; recent lumbar puncture; recent arterial puncture[medical-dictionary.thefreedictionary.com] The authors showed that in patients with MCI, pupillary abnormalities and severe brainstem compression may be present despite normal ICP values.[doi.org] Autosomal dominant inheritance of a predisposition to thoracic aortic aneurysms and dissections and intracranial saccular aneurysms.[emedicine.medscape.com]

  • Berry Aneurysm

    abnormalities Mortality from the first rupture is between 25-50% with repeat bleeding a common complication in survivors.[radiopaedia.org] It can be treated by lumbar puncture or ventricular drainage, combined with fibrinolysis through the drain site, depending on the site of obstruction.[patient.info] It usually affects the thoracic aorta (see aortic dissection ) but can also occur in other large arteries.[medical-dictionary.thefreedictionary.com]

  • Guillain-Barré Syndrome

    […] sweating, pupillary abnormalities Common and under-recognized in children![pedemmorsels.com] Based on the clinical symptoms and results of the lumbar puncture and electromyography, he was first diagnosed as GBS, however, after treatment his condition was deteriorate[ncbi.nlm.nih.gov] aortic aneurysm and dissection familial thoracic aortic aneurysm , see Familial thoracic aortic aneurysm and dissection Familial thoracic aortic aneurysm and dissection Familial[herenciageneticayenfermedad.blogspot.com]

  • Cerebral Aneurysm

    These findings include the following: Aneurysmal SAH: May be accompanied by nuchal rigidity, decreased level of consciousness, subhyaloid hemorrhages, pupillary abnormalities[emedicine.com] puncture (for patients not at risk for increased intracranial pressure [ICP]), skull x-rays, electroencephalography, transcranial Doppler ultrasonography, single-photon emission[medical-dictionary.thefreedictionary.com] It usually affects the thoracic aorta (see aortic dissection ) but can also occur in other large arteries.[medical-dictionary.thefreedictionary.com]

  • Ruptured Cerebral Aneurysm

    These findings include the following: Aneurysmal SAH: May be accompanied by nuchal rigidity, decreased level of consciousness, subhyaloid hemorrhages, pupillary abnormalities[emedicine.medscape.com] puncture (for patients not at risk for increased intracranial pressure [ICP]), skull x-rays, electroencephalography, transcranial Doppler ultrasonography, single-photon emission[medical-dictionary.thefreedictionary.com] Ann Thorac Surg. 1995, 60: 1439-1443. View Article PubMed Google Scholar Byra P, Chillag S, Petit S: Osteogenesis imperfecta and aortic dissection.[bmcneurol.biomedcentral.com]

  • Spondylitic Aortitis

    Reflex Impaired, Purpura, Pyloric Stenosis, Pyrexia, Qrs Axis Abnormal, Quadriparesis, Quadriplegia, Radial Nerve Palsy, Radiation Skin Injury, Radiculitis, Radiculitis Lumbosacral[bonkersinstitute.org] . ( 29701396 ) Fernandes B....Carvalho L. 2017 37 Thoracic aortitis and aortic dissection following pegfilgrastim administration. ( 28549110 ) Sato Y....Tomii K. 2017 38 Diagnosis[malacards.org] […] pathology acute aortic syndrome aortic dissection Stanford classification DeBakey classification penetrating aortic ulcer intramural hematoma aortic aneurysms thoracic aortic[radiopaedia.org]