Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/172764
Title: | Feasibility of lumbar puncture in the study of cerebrospinal fluid biomarkers for Alzheimer disease in subjects with Down syndrome |
Author: | Carmona-Iragui, Maria Santos, Telma Videla, Sebas Fernández, Susana Benejam, Bessy Videla, Laura Alcolea, Daniel Blennow, Kaj Blesa González, Rafael Lleo, Alberto Fortea Ormaechea, Juan |
Keywords: | Líquid cefalorraquidi Malaltia d'Alzheimer Síndrome de Down Punció lumbar Cerebrospinal fluid Alzheimer's disease Down syndrome Spinal puncture |
Issue Date: | 1-Oct-2017 |
Publisher: | IOS Press |
Abstract: | Background: Alzheimer's disease (AD) is the main medical problem in older adults with Down syndrome (DS). Studies of cerebrospinal fluid (CSF) AD biomarkers are limited and the feasibility of lumbar puncture (LP) is controversial in this population. Objective: to analyze the frequency of complications after a LP in DS. Methods: we collected data from 80 adults with DS that underwent a LP within the Down Alzheimer Barcelona Neuroimaging Initiative. Demographics, cognitive status, headache history, and presence of complications after the LP were recorded in every subject. In 53 of them (active group), this information was collected following a semi-structured and validated protocol that actively looks for complications. Other variables related to the LP procedure were also recorded. A telephone interview to the caregiver was performed 5-7 days after the procedure to ask about complications. Data from 27 subjects (clinical practice group), from whom the presence of complications was obtained in a medical follow-up visit within the three months after the LP, were also included. Results: there were no adverse events in 90% of our participants. The most frequent complication was headache (6.25%); only one subject reported a typical post-lumbar puncture headache with moderate severity that required analgesic treatment. Dizziness (3.75%) and back pain (1.25%) were also reported. All the participants that reported complications belonged to the active group. Conclusion: LP can be safely performed to study CSF biomarkers in DS. The reported complications are qualitatively similar to the general population, but are less frequently reported, even when actively searched for. |
Note: | Reproducció del document publicat a: https://doi.org/10.3233/JAD-160827 |
It is part of: | Journal of Alzheimer's Disease, 2017, vol. 55, num. 4, p. 1489-1496 |
URI: | http://hdl.handle.net/2445/172764 |
Related resource: | https://doi.org/10.3233/JAD-160827 |
ISSN: | 1387-2877 |
Appears in Collections: | Articles publicats en revistes (Patologia i Terapèutica Experimental) |
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