The Lateral C1-C2 Puncture: Indications, Technique, and Potential Complications

被引:16
作者
Daniels, Steven P. [1 ]
Schweitzer, Andrew D. [1 ]
Baidya, Ritwik [2 ]
Krol, George [3 ]
Schneider, Robert [4 ]
Lis, Eric [3 ]
Chazen, J. Levi [1 ]
机构
[1] New York Presbyterian Hosp, Weill Cornell Med Ctr, Dept Radiol, 525 E 68th St,Box 141, New York, NY 10065 USA
[2] Weill Cornell Med Coll, Dept Anat Radiol, New York, NY USA
[3] Mem Sloan Kettering Canc Ctr, Dept Radiol, 1275 York Ave, New York, NY 10021 USA
[4] Hosp Special Surg, Dept Radiol & Imaging, 535 E 70th St, New York, NY 10021 USA
关键词
C1-2; puncture; C1-C2; cervical puncture; CSF aspiration; CT; fluoroscopy; myelography; spine intervention; VERTEBRAL ARTERY VARIATIONS; CERVICAL SPINAL-CORD; LUMBAR DURA-MATER; METRIZAMIDE MYELOGRAPHY; SUBARACHNOID HEMATOMA; POSTERIOR; IOHEXOL; DIAGNOSIS; PATIENT; ANATOMY;
D O I
10.2214/AJR.18.19584
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. Lateral C1-C2 puncture can be used for CSF collection, contrast agent injection for myelography, and access for cordotomy. The objective of this article is to describe the indications, technique, and potential complications of this procedure. CONCLUSION. Radiologists performing lumbar puncture or myelography should be comfortable gaining access to the subarachnoid space via the lateral C1-C2 approach when indicated. Familiarity with the technique and its potential complications is essential for a safe and efficient procedure.
引用
收藏
页码:431 / 442
页数:12
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