Sonographically Guided Lumbar Puncture in Pediatric Patients
| Autor: | Karin M. Muraszko, Anthony C. Wang, Hemant Parmar, Page I. Wang, Jennifer O. Naidu, Gaurang Shah, Douglas J. Quint, Ashok Srinivasan, Michael A. DiPietro, Pia C. Sundgren |
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| Rok vydání: | 2013 |
| Předmět: |
Image-Guided Biopsy
Male medicine.medical_specialty Adolescent Intrathecal Sensitivity and Specificity Spinal Puncture Hematoma Lumbar medicine Humans Radiology Nuclear Medicine and imaging Child Ultrasonography Interventional Pelvis Cerebrospinal Fluid Radiological and Ultrasound Technology medicine.diagnostic_test Lumbar puncture business.industry Infant Reproducibility of Results medicine.disease Surgery medicine.anatomical_structure Child Preschool Female Radiology business |
| Zdroj: | Journal of Ultrasound in Medicine. 32:2191-2197 |
| ISSN: | 0278-4297 |
| DOI: | 10.7863/ultra.32.12.2191 |
| Popis: | Our aim with this study was to develop a user-friendly method for pediatric sonographically guided lumbar punctures so that we can visualize intrathecal anatomy, confirm intrathecal injection at the time of injection, and, most importantly, avoid ionizing radiation to a child's already radiosensitive pelvis. Sonographically guided lumbar puncture was prospectively performed in children aged 7 weeks to 16 years. All attempts (n = 9) were successful. We were able to identify relevant anatomy (including the conus in children 10 years and younger), confirm intrathecal injection, visualize intrathecal hematoma, and avoid radiation. Sonography is a promising modality for image-guided lumbar punctures without radiation in children. |
| Databáze: | OpenAIRE |
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