Title |
Transforaminal Lumbar Puncture: An Alternative Technique in Patients with Challenging Access
|
---|---|
Published in |
American Journal of Neuroradiology, March 2018
|
DOI | 10.3174/ajnr.a5596 |
Pubmed ID | |
Authors |
D.R. Nascene, C. Ozutemiz, H. Estby, A.M. McKinney, J.B. Rykken |
Abstract |
Interlaminar lumbar puncture and cervical puncture may not be ideal in all circumstances. Recently, we have used a transforaminal approach in selected situations. Between May 2016 and December 2017, twenty-six transforaminal lumbar punctures were performed in 9 patients (25 CT-guided, 1 fluoroscopy-guided). Seven had spinal muscular atrophy and were referred for intrathecal nusinersen administration. In 2, CT myelography was performed via transforaminal lumbar puncture. The lumbar posterior elements were completely fused in 8, and there was an overlying abscess in 1. The L1-2 level was used in 2; the L2-3 level, in 10; the L3-4 level, in 12; and the L4-5 level, in 2 procedures. Post-lumbar puncture headache was observed on 4 occasions, which resolved without blood patching. One patient felt heat and pain at the injection site that resolved spontaneously within hours. One patient had radicular pain that resolved with conservative treatment. Transforaminal lumbar puncture may become an effective alternative to classic interlaminar lumbar puncture or cervical puncture. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 3 | 23% |
Mexico | 1 | 8% |
Spain | 1 | 8% |
Saudi Arabia | 1 | 8% |
Ecuador | 1 | 8% |
Unknown | 6 | 46% |
Demographic breakdown
Type | Count | As % |
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Practitioners (doctors, other healthcare professionals) | 2 | 15% |
Scientists | 1 | 8% |
Science communicators (journalists, bloggers, editors) | 1 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 52 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 9 | 17% |
Other | 5 | 10% |
Student > Ph. D. Student | 5 | 10% |
Student > Doctoral Student | 4 | 8% |
Student > Postgraduate | 4 | 8% |
Other | 13 | 25% |
Unknown | 12 | 23% |
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Neuroscience | 5 | 10% |
Nursing and Health Professions | 4 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 6% |
Biochemistry, Genetics and Molecular Biology | 2 | 4% |
Other | 5 | 10% |
Unknown | 15 | 29% |