Lumbar Puncture in the 21st Century: an Imaging-Based Primer to Determine Procedural Safety

The authors aim to address the safety of lumbar puncture (LP) procedures by identifying patients at increased risk for life-threatening complications, particularly in the context of central nervous system mass lesions or altered cerebrospinal fluid dynamics. Through a comprehensive literature review, they propose an imaging-based primer that outlines specific contraindications for LP, integrating these findings with existing clinical guidelines to assist clinicians in decision-making.