Queckenstedt's maneuver: Difference between revisions

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'''Queckenstedt's maneuver''', or '''Queckenstedt's test''', is a test for detecting blockage of the [[cerebrospinal fluid]] (CSF) in the spinal canal.<ref name="pmid16705195">{{cite journal| author=Pearce JM| title=Queckenstedt's manoeuvre. | journal=J Neurol Neurosurg Psychiatry | year= 2006 | volume= 77 | issue= 6 | pages= 728 | pmid=16705195  
'''Queckenstedt's maneuver''', or '''Queckenstedt's test''', is a test for detecting blockage of the [[cerebrospinal fluid]] (CSF) in the spinal canal.<ref name="pmid16705195">{{cite journal| author=Pearce JM| title=Queckenstedt's manoeuvre. | journal=J Neurol Neurosurg Psychiatry | year= 2006 | volume= 77 | issue= 6 | pages= 728 | pmid=16705195  
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=16705195 | doi=10.1136/jnnp.2005.083618 | pmc=PMC2077443 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> In the normal patient, Queckenstedt's maneuver leads to a transient rise in pressure of the CSF of about 4 cm H<sub>2</sub>O or more.<ref name="pmid7357350">{{cite journal| author=Clough C, Pearce JM| title=Procedures in practice. Lumbar puncture. | journal=Br Med J | year= 1980 | volume= 280 | issue= 6210 | pages= 297-9 | pmid=7357350  
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=16705195 | doi=10.1136/jnnp.2005.083618 | pmc=PMC2077443 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> The maneuver is compressing both jugular veins while measuring CSF pressure. The same may happen from compressing the abdominal veins.<ref name="pmid17062865">{{cite journal| author=Straus SE, Thorpe KE, Holroyd-Leduc J| title=How do I perform a lumbar puncture and analyze the results to diagnose bacterial meningitis? | journal=JAMA | year= 2006 | volume= 296 | issue= 16 | pages= 2012-22 | pmid=17062865
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=17062865 | doi=10.1001/jama.296.16.2012 }}  [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=17335165 Review in: ACP J Club. 2007 Mar-Apr;146(2):42] <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> In the normal patient, Queckenstedt's maneuver leads to a transient rise in pressure of the CSF of about 4 cm H<sub>2</sub>O or more ([[mercury]] is 13.6 times more dense than [[water]]).<ref name="pmid7357350">{{cite journal| author=Clough C, Pearce JM| title=Procedures in practice. Lumbar puncture. | journal=Br Med J | year= 1980 | volume= 280 | issue= 6210 | pages= 297-9 | pmid=7357350  
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=7357350 | pmc=PMC1600152 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref>
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=7357350 | pmc=PMC1600152 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref>


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Queckenstedt's maneuver, or Queckenstedt's test, is a test for detecting blockage of the cerebrospinal fluid (CSF) in the spinal canal.[1] The maneuver is compressing both jugular veins while measuring CSF pressure. The same may happen from compressing the abdominal veins.[2] In the normal patient, Queckenstedt's maneuver leads to a transient rise in pressure of the CSF of about 4 cm H2O or more (mercury is 13.6 times more dense than water).[3]

References