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VOLUME 19 , ISSUE 10 ( 2015 ) > List of Articles


Successful lumbar puncture with Taylor′s approach for the diagnostic workup of meningitis in a patient with Ankylosing spondylitis

Gentle Sunder Shrestha, Subhash Acharya, Niraj Keyal, Hem Paneru, Pramesh Shrestha

Keywords : Ankylosing spondylitis, difficult lumbar puncture, meningitis, Taylor′s approach

Citation Information : Shrestha GS, Acharya S, Keyal N, Paneru H, Shrestha P. Successful lumbar puncture with Taylor′s approach for the diagnostic workup of meningitis in a patient with Ankylosing spondylitis. Indian J Crit Care Med 2015; 19 (10):618-620.

DOI: 10.4103/0972-5229.167053

License: CC BY-ND 3.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2015; The Author(s).


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.

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