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LP and Glasgow coma score
  1. D Isaacs1
  1. 1Paediatric Infectious Disease Specialist, Children’s Hospital, Westmead & University of Sydney; davidi@chw.edu.au

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Congratulations to the authors on a balanced article on the need for lumbar puncture.1

One point of possible confusion is the Glasgow Coma Score (GCS) quoted as a contraindication to LP. Kneen et al quote a GCS <13 as a contraindication to LP, which would exclude a very large number of childen with meningitis. Riordan and Cant2 in the same issue of your journal quote a …

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