医学
腰椎穿刺
计算机断层摄影术
脑脊液
鞘内
放射科
腰椎
断层摄影术
外科
内科学
作者
İzzet Ökçesiz,Halil Dönmez,Nevzat Herdem,Ayşe Çağlar Sarılar
出处
期刊:Journal of Computer Assisted Tomography
[Ovid Technologies (Wolters Kluwer)]
日期:2022-01-26
卷期号:46 (2): 269-273
标识
DOI:10.1097/rct.0000000000001260
摘要
This study aimed to evaluate the utility of computed tomography (CT) guidance in difficult lumbar puncture (LP) cases, which had a history of at least one unsuccessful blind attempt at LP (no imaging guidance), and to note potential advantages and disadvantages of the use of CT guidance.In total, 32 CT-guided LP procedures performed between June 2019 and March 2021 were included. All LP indications were recorded. The procedures where the cerebrospinal fluid flow was provided by a single puncture were evaluated as "primary technical success." "Secondary technical success" corresponded with the procedures in which additional puncture was necessary for the cerebrospinal fluid flow.Intrathecal nusinersen injections due to spinal muscular atrophy constituted the largest procedure group of this study. Among 32 procedures, primary and secondary technical success rates were 78.12% and 28.57%, respectively. There were no major procedural complications.Computed tomography-guided LP is an effective interventional technique offering an alternative approach in the setting of difficult LP procedures.
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