Table 2: Contraindications to lumbar puncture [9].

ContraindicationComment

Raised intracranial pressure:
 Alteration in level of  consciousness
 Papilloedema
 Focal neurological signsExcluding an isolated cranial nerve VI or VII palsy
 Prolonged seizuresDelay lumbar puncture for 30 minutes in simple, short seizures only

History of selected CNS diseaseCSF shunts, hydrocephalus, trauma, post neurosurgery, or known space-occupying lesion

ImmunocompromiseHIV/AIDS, on immunosuppressive therapy, post-transplantation

Coagulation disorders

Cardiorespiratory insufficiency

Localised infection at site of needle insertion