CSF tap test

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 mL of cerebrospinal fluid (CSF) through a lumbar puncture, after which 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.^[1]

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

↑ Collins LG, Rovner BN, Marenberg MM (2009). "Evaluation and Management of Dementia". In Arenson C, Busby-Whitehead J, Brummel-Smith K, O'Brien JG, Palmer MH, Reichel W. Reichel's care of the elderly : clinical aspects of aging. (6th ed.). Cambridge: Cambridge University Press. p. 180. ISBN 9780521869294.

Eponymous medical signs for nervous system

CNS

Head, general	Battle's sign Broca aphasia Kernig's sign Macewen's sign Myerson's sign Stroop test Wada test Dix-Hallpike test Hirano body

Multiple sclerosis	Dawson's fingers Lhermitte's sign Charcot's neurologic triad Uhthoff's phenomenon

Other	Romberg's test increased intracranial pressure Cushing's triad Miller Fisher test

PNS

Reflexes of extremities/
corticospinal tract

Combination	Jendrassik maneuver

Lower limb	Babinski sign Chaddock reflex Oppenheim's sign Westphal's sign

Upper limb	Hoffmann's sign

Other torso/limbs

Upper limb	Froment's sign carpal tunnel syndrome Tinel sign Phalen maneuver

Lower limb	Abadie's sign of tabes dorsalis Gowers' sign Hoover's sign Lasègue's sign Trendelenburg's sign

Torso	Beevor's sign

General	Todd's paresis Jolly's test

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