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CSF tap test
Medical test
Medical test
| Field | Value | |
|---|---|---|
| name | CSF tap test | |
| image | File:Wikipedian getting a lumbar puncture (2006).jpg | |
| caption | Lumbar puncture | |
| purpose | test to decide shunting of cerebrospinal fluid | |
| synonyms | Lumbar tap test | |
| DiseasesDB | ||
| ICD10 | ||
| MedlinePlus | ||
| eMedicine | ||
| OPS301 | ||
| LOINC |
The CSF tap test, sometimes lumbar tap test or Miller Fisher Test, is a medical test that is used to decide whether shunting of cerebrospinal fluid (CSF) would be helpful in a patient with suspected normal pressure hydrocephalus (NPH). The test involves removing 30–50 ml of CSF through a lumbar puncture, after which motor and cognitive function is clinically reassessed. The name "Fisher test" is after C. Miller Fisher, a Canadian neurologist working in Boston, Massachusetts, who described the test.
Clinical improvement showed a high predictive value for subsequent success with shunting. A "negative" test has a very low predictive accuracy, as many patients may improve after a shunt in spite of lack of improvement after CSF removal.
References
References
- (2011-07-30). "The CSF tap test in normal pressure hydrocephalus: evaluation time, reliability and the influence of pain". European Journal of Neurology.
- (2009). "Reichel's care of the elderly : clinical aspects of aging.". Cambridge University Press.
- (2013). "The European iNPH Multicentre Study on the predictive values of resistance to CSF outflow and the CSF Tap Test in patients with idiopathic normal pressure hydrocephalus". Journal of Neurology, Neurosurgery, and Psychiatry.
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