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Research ArticleSpine Imaging and Spine Image-Guided Interventions

Transforaminal Lumbar Puncture: An Alternative Technique in Patients with Challenging Access

D.R. Nascene, C. Ozutemiz, H. Estby, A.M. McKinney and J.B. Rykken
American Journal of Neuroradiology March 2018, DOI: https://doi.org/10.3174/ajnr.A5596
D.R. Nascene
aFrom the Department of Radiology (D.R.N., C.O., A.M.M., J.B.R.), Neuroradiology Section, University of Minnesota, Minneapolis, Minnesota
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C. Ozutemiz
aFrom the Department of Radiology (D.R.N., C.O., A.M.M., J.B.R.), Neuroradiology Section, University of Minnesota, Minneapolis, Minnesota
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H. Estby
bUniversity of Minnesota Medical School (H.E.), Minneapolis, Minnesota.
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A.M. McKinney
aFrom the Department of Radiology (D.R.N., C.O., A.M.M., J.B.R.), Neuroradiology Section, University of Minnesota, Minneapolis, Minnesota
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J.B. Rykken
aFrom the Department of Radiology (D.R.N., C.O., A.M.M., J.B.R.), Neuroradiology Section, University of Minnesota, Minneapolis, Minnesota
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References

  1. 1.↵
    1. Abel AS,
    2. Brace JR,
    3. 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
  2. 2.↵
    1. Cauley KA
    . Fluoroscopically guided lumbar puncture. AJR Am J Roentgenol 2015;205:W442–50 doi:10.2214/AJR.14.14028 pmid:26397351
    CrossRefPubMed
  3. 3.↵
    1. Ozdoba C,
    2. Gralla J,
    3. Rieke A, et al
    . Myelography in the age of MRI: why we do it, and how we do it. Radiol Res Pract 2011;2011:329017 doi:10.1155/2011/329017 pmid:22091378
    CrossRefPubMed
  4. 4.↵
    1. Gibbs WN,
    2. Skalski MR,
    3. Kim PE, et al
    . C1–2 puncture: a safe, efficacious, and potentially underused technique. Neurographics 2017;7:1–8 doi:10.3174/ng.1170183
    CrossRef
  5. 5.↵
    1. Pomerantz SR,
    2. Buchbinder B,
    3. Hirsch JA
    . Suboccipital puncture of the cisterna magna under CT-guidance with intravenous enhancement in order to circumvent anomalous course of posterior inferior cerebellar artery (PICA). In: Proceedings of the American Society of Spine Radiology Annual Symposium, San Juan, Puerto Rico. February 24–27, 2005
  6. 6.↵
    1. Yousem DM,
    2. Gujar SK
    . Are C1–2 punctures for routine cervical myelography below the standard of care? AJNR Am J Neuroradiol 2009;30:1360–63 doi:10.3174/ajnr.A1594 pmid:19369600
    Abstract/FREE Full Text
  7. 7.↵
    1. Robertson HJ,
    2. Smith RD
    . Cervical myelography: survey of modes of practice and major complications. Radiology 1990;174:79–83 doi:10.1148/radiology.174.1.2294575 pmid:2294575
    CrossRefPubMedWeb of Science
  8. 8.↵
    1. Heinz ER
    . Development of the C1–C2 puncture in neuroradiology: a historical note. AJNR Am J Neuroradiol 2005;26:5–6 pmid:15661690
    FREE Full Text
  9. 9.↵
    1. Kolb SJ,
    2. Kissel JT
    . Spinal muscular atrophy. Neurol Clin 2015;33:831–46 doi:10.1016/j.ncl.2015.07.004 pmid:26515624
    CrossRefPubMed
  10. 10.↵
    1. Corey DR
    . Nusinersen, an antisense oligonucleotide drug for spinal muscular atrophy. Nat Neurosci 2017;20:497–99 doi:10.1038/nn.4508 pmid:28192393
    CrossRefPubMed
  11. 11.↵
    1. Haché M,
    2. Swoboda KJ,
    3. Sethna N, et al
    . Intrathecal injections in children with spinal muscular atrophy: nusinersen clinical trial experience. J Child Neurol 2016;31:899–906 doi:10.1177/0883073815627882 pmid:26823478
    CrossRefPubMed
  12. 12.↵
    1. Demondion X,
    2. Lefebvre G,
    3. Fisch O, et al
    . Radiographic anatomy of the intervertebral cervical and lumbar foramina (vessels and variants). Diagn Interv Imaging 2012;93:690–97 doi:10.1016/j.diii.2012.07.008 pmid:22883939
    CrossRefPubMed
  13. 13.↵
    1. Flaatten H,
    2. Thorsen T,
    3. Askeland B, et al
    . Puncture technique and postural postdural puncture headache: a randomised, double-blind study comparing transverse and parallel puncture. Acta Anaesthesiol Scand 1998;42:1209–14 doi:10.1111/j.1399-6576.1998.tb05279.x pmid:9834807
    CrossRefPubMedWeb of Science
  14. 14.↵
    1. Lybecker H,
    2. Moller JT,
    3. May O, et al
    . Incidence and prediction of postdural puncture headache: a prospective study of 1021 spinal anesthesias. Anesth Analg 1990;70:389–94 pmid:2316881
    PubMedWeb of Science
  15. 15.↵
    1. Weaver JJ,
    2. Natarajan N,
    3. Shaw DWW, et al
    . Transforaminal intrathecal delivery of nusinersen using cone-beam computed tomography for children with spinal muscular atrophy and extensive surgical instrumentation: early results of technical success and safety. Pediatr Radiol 2018;48:392–97 doi:10.1007/s00247-017-4031-6 pmid:29130140
    CrossRefPubMed
  16. 16.↵
    1. Manchikanti L,
    2. Kaye AD,
    3. Manchikanti K, et al
    . Efficacy of epidural injections in the treatment of lumbar central spinal stenosis: a systematic review. Anesth Pain Med 2015;5:e23139 doi:10.5812/aapm.23139 pmid:25789241
    CrossRefPubMed
  17. 17.↵
    1. Shim E,
    2. Lee JW,
    3. Lee E, et al
    . Fluoroscopically guided epidural injections of the cervical and lumbar spine. Radiographics 2017;37:537–61 doi:10.1148/rg.2017160043 pmid:27935769
    CrossRefPubMed
  18. 18.↵
    1. Huntoon MA,
    2. Martin DP
    . Paralysis after transforaminal epidural injection and previous spinal surgery. Reg Anesth Pain Med 2004;29:494–95 pmid:15372396
    CrossRefPubMedWeb of Science
  19. 19.↵
    1. Somayaji HS,
    2. Saifuddin A,
    3. Casey AT, et al
    . Spinal cord infarction following therapeutic computed tomography-guided left L2 nerve root injection. Spine 2005;30:E106–08 doi:10.1097/01.brs.0000153400.67526.07 pmid:15706327
    CrossRefPubMedWeb of Science
  20. 20.↵
    1. Karaman H,
    2. Kavak GO,
    3. Tüfek A, et al
    . The complications of transforaminal lumbar epidural steroid injections. Spine 2011;36:E819–24 doi:10.1097/BRS.0b013e3181f32bae pmid:21217425
    CrossRefPubMed
  21. 21.↵
    1. El-Yahchouchi CA,
    2. Plastaras CT,
    3. Maus TP, et al
    . Adverse event rates associated with transforaminal and interlaminar epidural steroid injections: a multi-institutional study. Pain Med 2016;17:239–49 doi:10.1111/pme.12896 pmid:26593277
    CrossRefPubMed
  22. 22.↵
    1. Amrhein TJ,
    2. Befera NT,
    3. Gray L, et al
    . CT fluoroscopy-guided blood patching of ventral CSF leaks by direct needle placement in the ventral epidural space using a transforaminal approach. AJNR Am J Neuroradiol 2016;37:1951–56 doi:10.3174/ajnr.A4842 pmid:27390315
    Abstract/FREE Full Text
  23. 23.↵
    1. Evans RW,
    2. Armon C,
    3. Frohman EM, et al
    . Assessment: prevention of post-lumbar puncture headaches: report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology. Neurology 2000;55:909–14 doi:10.1212/WNL.55.7.909 pmid:11061243
    FREE Full Text
  24. 24.↵
    1. Rodriguez D,
    2. Branstetter BF 4th.,
    3. Agarwal V, et al
    . Journal club: incidence of complications following fluoroscopically guided lumbar punctures and myelograms. AJR Am J Roentgenol 2016;206:20–25 doi:10.2214/AJR.15.14664 pmid:26700333
    CrossRefPubMed
  25. 25.↵
    1. Armon C,
    2. Evans RW
    . Addendum to assessment: prevention of post-lumbar puncture headaches—report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2005;65:510–12 doi:10.1212/01.wnl.0000173034.96211.1b pmid:16116106
    Abstract/FREE Full Text
  26. 26.↵
    1. Lavi R,
    2. Yarnitsky D,
    3. Rowe JM, et al
    . Standard vs atraumatic Whitacre needle for diagnostic lumbar puncture: a randomized trial. Neurology 2006;67:1492–94 doi:10.1212/01.wnl.0000240054.40274.8a pmid:17060584
    Abstract/FREE Full Text
  27. 27.↵
    1. Strupp M,
    2. Schueler O,
    3. Straube A, et al
    . “Atraumatic” Sprotte needle reduces the incidence of post-lumbar puncture headaches. Neurology 2001;57:2310–12 doi:10.1212/WNL.57.12.2310 pmid:11756618
    Abstract/FREE Full Text
  28. 28.↵
    1. Castrillo A,
    2. Tabernero C,
    3. Garcia-Olmos LM, et al
    . Postdural puncture headache: impact of needle type, a randomized trial. Spine J 2015;15:1571–76 doi:10.1016/j.spinee.2015.03.009 pmid:25794941
    CrossRefPubMed
  29. 29.↵
    1. Peterman SB
    . Postmyelography headache rates with Whitacre versus Quincke 22-gauge spinal needles. Radiology 1996;200:771–78 doi:10.1148/radiology.200.3.8756930 pmid:8756930
    CrossRefPubMedWeb of Science
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Cite this article
D.R. Nascene, C. Ozutemiz, H. Estby, A.M. McKinney, J.B. Rykken
Transforaminal Lumbar Puncture: An Alternative Technique in Patients with Challenging Access
American Journal of Neuroradiology Mar 2018, DOI: 10.3174/ajnr.A5596

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Transforaminal Lumbar Puncture: An Alternative Technique in Patients with Challenging Access
D.R. Nascene, C. Ozutemiz, H. Estby, A.M. McKinney, J.B. Rykken
American Journal of Neuroradiology Mar 2018, DOI: 10.3174/ajnr.A5596
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