Transforaminal lumbar puncture for intrathecal access: Case series with literature review and comparison to other techniques
| Autor: | Suraj Patel, Vinodkumar Velayudhan, Andrew Danziger, Stephen Waite, Aslan Efendizade, Arcadi Grigorian |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Scoliosis Intrathecal Spinal Puncture Muscular Atrophy Spinal 03 medical and health sciences Postoperative Complications 0302 clinical medicine Physiology (medical) medicine Ommaya reservoir Humans In patient medicine.diagnostic_test Lumbar puncture business.industry Laminectomy General Medicine Middle Aged medicine.disease SMA Surgery Neurology Fluoroscopy 030220 oncology & carcinogenesis Spinal fusion Female Neurology (clinical) Thecal sac business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Neuroscience. 72:114-118 |
| ISSN: | 0967-5868 |
| Popis: | Fluoroscopic-guided lumbar puncture (LP) is a procedure commonly performed by radiologists, which in some circumstances may be difficult or impossible using a traditional posterior interspinous or interlaminar approach. Alternatives to LP include cervical and cisternal punctures, placement of an Ommaya reservoir, and lumbar laminectomy. More recently, however, there has been a move toward access of the thecal sac through a transforaminal approach in patients with challenging anatomy. This report outlines our approach and experience using transforaminal LP (TFLP) in patients with spinal muscular atrophy (SMA) with a 100% success rate. We discuss its utility in other patients with difficult access and compare TFLP with other techniques to access the intrathecal space. |
| Databáze: | OpenAIRE |
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