Cisternal Puncture Treatment in India

Diya Williams, a 42-year-old high school...

Diya Williams, a 42-year-old high school biology teacher and mother of two, had been suffering from debilitating headaches and double vision for six weeks. Her symptoms began suddenly, and over-the-counter pain relievers provided no relief. An MRI revealed inflammation of the meninges, the protective layers around her brain, but standard lumbar punctures were repeatedly unsuccessful due to a prior spinal surgery for a herniated disc. Her neurologist, Dr. Evans, recommended a cisternal puncture to obtain cerebrospinal fluid (CSF) from the base of her skull to diagnose the cause of the meningitis and guide treatment. Diya was terrified of the idea of a needle near her brainstem but understood it was the only way to get answers. The procedure was performed under fluoroscopic guidance with local anesthesia. She felt pressure but no sharp pain. The CSF analysis confirmed viral meningitis, ruling out more serious bacterial or fungal causes. Within days of starting targeted antiviral medication, her headaches began to subside. Emotionally, Diya moved from a state of fear and frustration about the failed lumbar punctures to immense relief. Knowing the exact cause of her illness allowed for effective treatment and the reassurance that she would fully recover and return to her family and classroom.