Difficult Lumbar Puncture: Pitfalls and Tips from the Trenches

References

1. 1.↵
   2. Kroll H,
   3. Duszak R Jr.,
   4. Nsiah E, et al

   . Trends in lumbar puncture over 2 decades: a dramatic shift to radiology. AJR Am J Roentgenol 2015;204:15–19 doi:10.2214/AJR.14.12622 pmid:25539231

   CrossRefPubMed
2. 2.↵
   2. Ogden CL,
   3. Carroll MD,
   4. Kit BK, et al

   . Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 2014;311:806–14 doi:10.1001/jama.2014.732 pmid:24570244

   CrossRefPubMedWeb of Science
3. 3.↵
   2. Hannerz J,
   3. Ericson K

   . The relationship between idiopathic intracranial hypertension and obesity. Headache 2009;49:178–84 doi:10.1111/j.1526-4610.2008.01240.x pmid:19222591

   CrossRefPubMed
4. 4.↵
   2. Mokdad AH,
   3. Ford ES,
   4. Bowman BA, et al

   . Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003;289:76–79 pmid:12503980

   CrossRefPubMedWeb of Science
5. 5.↵
   2. Boddu SR,
   3. Corey A,
   4. Peterson R, et al

   . Fluoroscopic-guided lumbar puncture: fluoroscopic time and implications of body mass index–a baseline study. AJNR Am J Neuroradiol 2014;35:1475–80 doi:10.3174/ajnr.A3914 pmid:24722309

   Abstract/FREE Full Text
6. 6.↵
   2. Fetterly KA,
   3. Schueler BA

   . Experimental evaluation of fiber-interspaced antiscatter grids for large patient imaging with digital x-ray systems. Phys Med Biol 2007;52:4863–80 doi:10.1088/0031-9155/52/16/010 pmid:17671340

   CrossRefPubMed
7. 7.↵
   2. Bushberg JT

   . The AAPM/RSNA physics tutorial for residents: X-ray interactions. Radiographics 1998;18:457–68 doi:10.1148/radiographics.18.2.9536489 pmid:9536489

   CrossRefPubMed
8. 8.↵
   2. Eskey CJ,
   3. Ogilvy CS

   . Fluoroscopy-guided lumbar puncture: decreased frequency of traumatic tap and implications for the assessment of CT-negative acute subarachnoid hemorrhage. AJNR Am J Neuroradiol 2001;22:571–76 pmid:11237986

   Abstract/FREE Full Text
9. 9.↵
   2. Modica MJ,
   3. Kanal KM,
   4. Gunn ML

   . The obese emergency patient: imaging challenges and solutions. Radiographics 2011;31:811–23 doi:10.1148/rg.313105138 pmid:21571658

   CrossRefPubMed
10. 10.↵
    2. Brook AD,
    3. Burns J,
    4. Dauer E, et al

    . Comparison of CT and fluoroscopic guidance for lumbar puncture in an obese population with prior failed unguided attempt. J Neurointerv Surg 2014;6:324–28 doi:10.1136/neurintsurg-2013-010745 pmid:23729498

    CrossRefPubMed
11. 11.↵
    2. Schindera ST,
    3. Nelson RC,
    4. Toth TL, et al

    . Effect of patient size on radiation dose for abdominal MDCT with automatic tube current modulation: phantom study. AJR Am J Roentgenol 2008;190:W100–05 doi:10.2214/AJR.07.2891 pmid:18212190

    CrossRefPubMedWeb of Science
12. 12.↵
    2. Yanch JC,
    3. Behrman RH,
    4. Hendricks MJ, et al

    . Increased radiation dose to overweight and obese patients from radiographic examinations. Radiology 2009;252:128–39 doi:10.1148/radiol.2521080141 pmid:19403846

    CrossRefPubMedWeb of Science
13. 13.↵
    2. Nayate AP,
    3. Nasrallah IM,
    4. Schmitt JE, et al

    . Using body mass index to predict needle length in fluoroscopy-guided lumbar punctures. AJNR Am J Neuroradiol 2016;37:572–78 doi:10.3174/ajnr.A4579 pmid:26585261

    Abstract/FREE Full Text
14. 14.↵
    2. Strupp M,
    3. Brandt T,
    4. Müller A

    . Incidence of post-lumbar puncture syndrome reduced by reinserting the stylet: a randomized prospective study of 600 patients. J Neurol 1998;245:589–92 doi:10.1007/s004150050250 pmid:9758296

    CrossRefPubMedWeb of Science
15. 15.↵
    2. Evans RW

    . Complications of lumbar puncture. Neurol Clin 1998;16:83–105 doi:10.1016/S0733-8619(05)70368-6 pmid:9421542

    CrossRefPubMedWeb of Science
16. 16.↵
    2. Wu CL,
    3. Rowlingson AJ,
    4. Cohen SR, et al

    . Gender and post-dural puncture headache. Anesthesiology 2006;105:613–18 doi:10.1097/00000542-200609000-00027 pmid:16931996

    CrossRefPubMedWeb of Science
17. 17.↵
    2. Curry TS III.,
    3. Dowdey JE,
    4. Murry RC Jr.

    . Christensen's Physics of Diagnostic Radiology. 4th ed. Philadelphia: Lea & Febiger; 1990:258–59
18. 18.↵
    2. Johnson JC,
    3. Deeb ZL

    . Coaxial needle technique for lumbar puncture in the morbidly obese patient. Radiology 1991;179:874 doi:10.1148/radiology.179.3.2028010 pmid:2028010

    CrossRefPubMed
19. 19.↵
    2. Abel AS,
    3. Brace JR,
    4. McKinney AM, et al

    . Practice patterns and opening pressure measurements using fluoroscopically guided lumbar puncture. AJNR Am J Neuroradiol 2012;33:823–25 doi:10.3174/ajnr.A2876 pmid:22268077

    Abstract/FREE Full Text
20. 20.↵
    2. Rando TA,
    3. Fishman RA

    . Spontaneous intracranial hypotension: report of two cases and review of the literature. Neurology 1992;42:481–87 doi:10.1212/WNL.42.3.481 pmid:1549206

    CrossRefPubMed
21. 21.↵
    2. Corbett JJ,
    3. Mehta MP

    . Cerebrospinal fluid pressure in normal obese subjects and patients with pseudotumor cerebri. Neurology 1983;33:1386–88 doi:10.1212/WNL.33.10.1386 pmid:6684240

    Abstract/FREE Full Text
22. 22.↵
    2. Cauley KA

    . Fluoroscopically guided lumbar puncture. AJR Am J Roentgenol 2015;205:W442–50 doi:10.2214/AJR.14.14028 pmid:26397351

    CrossRefPubMed
23. 23.↵
    2. Dillon WP,
    3. Fishman RA

    . Some lessons learned about the diagnosis and treatment of spontaneous intracranial hypotension. AJNR Am J Neuroradiol 1998;19:1001–02 pmid:9671999

    PubMed
24. 24.↵
    2. Mokri B,
    3. Piepgras DG,
    4. Miller GM

    . Syndrome of orthostatic headaches and diffuse pachymeningeal gadolinium enhancement. Mayo Clin Proc 1997;72:400–13 doi:10.4065/72.5.400 pmid:9146681

    CrossRefPubMedWeb of Science
25. 25.↵
    2. Schievink WI,
    3. Meyer FB,
    4. Atkinson JL, et al

    . Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. J Neurosurg 1996;84:598–605 doi:10.3171/jns.1996.84.4.0598 pmid:8613851

    CrossRefPubMedWeb of Science
26. 26.↵
    2. Fishman RA,
    3. Dillon WP

    . Dural enhancement and cerebral displacement secondary to intracranial hypotension. Neurology 1993;43:609–11 doi:10.1212/WNL.43.3_Part_1.609 pmid:8451008

    Abstract/FREE Full Text
27. 27.↵
    2. Cramer J,
    3. Quigley E,
    4. Hutchins T, et al

    . Spine Procedures in 3D. Salt Lake City: Practical Imaging; 2016: version 1.1, iTunes Bookstore. https://itunes.apple.com/us/book/spine-procedures-in-3d/id1119397210?ls=1&mt=13. Accessed February 25, 2017.