PTA Physical Therapy Assistant

Category - Diseases and Conditions

When there is presence of subtentorial mass, what is the complication following a misguided lumbar puncture?
  1. Lateral tentorial herniation
  2. Tonsillar herniation
  3. Midline shift
  4. Central tentorial herniation
Explanation
Answer: B -When there is presence of subtentorial mass, tonsillar herniation is the complication following a misguided lumbar puncture.

Lumbar puncture can create a pressure gradient which leads to tonsillar herniation.

Lateral tentorial herniation is caused by a unilateral expanding mass. As the intracranial pressure increases, the central herniation follows. Midline shift occurs due to unilateral space occupying lesions. Central tentorial herniation occurs due to a midline lesion.
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