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May 23, 2013
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Spinal Tap (cont.)

Medical Author:
Scott D. Fell, DO, FAAEM
Medical Editor:
Jerry R. Balentine, DO, FACEP
Jerry R. Balentine, DO, FACEP
Jerry R. Balentine, DO, FACEP

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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Spinal Tap Pictures

Media file 1: The lower portion of the back, or lumbar region. The doctor is pointing to the area where the needle will be inserted between the third and fourth vertebrae. Notice the other hand on the top of the pelvis bone serving to help locate this area. (For orientation purposes, the patient is on their right side with the head off to the right side of the screen.)
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Media type: Photo

Media file 2: An example of the sterile technique used. A drape is placed around the area (the blue sheet), and then the needle is put in place. (The glass tube going up from the needle is the device used to measure the pressure of the fluid itself.)
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Media type: Photo

Media file 3: The fluid is allowed to collect into each of the vials so that it can be sent to the lab for analysis.
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Media type: Photo

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Spinal Tap - Causes

The eMedicineHealth physician editors ask:

What was the cause of you needing a spinal tap?

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Lumbar Puncture (CSF Examination) »

Cerebrospinal fluid (CSF) was first examined in the 19th century using primitive techniques (eg, sharpened bird quills).

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