Percutaneous Access to the Subarachnoid Space-An Approach to the Patient With Difficult Body Habitus.
نویسندگان
چکیده
Despite advances in equipment and imaging, new challenges have arisen as the face of the world population changes. The CDC estimates that more than one-third of U.S. adults, and nearly, 17% of youth in America are obese [2]. According to the national scoliosis foundation, 2–3% of the U.S. population is affected by scoliosis. Generalized edema in sick and hospitalized patients, degenerative disk disease, spinal disorders such as ankylosing spondylitis, and a history of prior lumbar surgery can also make an ordinarily simple procedure more challenging and time-consuming. CONVENTIONAL AND ALTERNATIVE TECHNIQUES
منابع مشابه
بی‌حسی کامل نخاعی در بیمار مبتلا به آکندروپلازی: گزارش موردی
Background: Total spinal anesthesia is a complication of lumbar epidural anesthesia following undiagnosed subarachnoid or subdural injection of local anesthetic. Although many achondroplastic dwarfs have a normal spine, catheter insertion may be more problematic with a narrow epidural space making a subarachnoid tap more probable. Other malformations associated with achondroplasia, such as pro...
متن کاملPercutaneous transosseous translaminar approach for thecal sac access in advanced ankylosing spondylitis with instrumented posterior spinal fusion.
A novel transosseous approach for percutaneous access of the lumbar subarachnoid space is described in a patient with advanced ankylosing spondylitis (AS) and instrumented spinal fusion who presented for myelography. Use of a coaxial threaded bone biopsy system to provide transosseous access to the thecal sac, imaging findings, and outcome are discussed. This technique provided access to an oth...
متن کاملبررسی فاصله پوست تا فضای ساب آراکنویید در بی حسی اسپاینال
Background and purpose: Spinal anesthesia is one of the most common techniques in general surgery. We studied the distance from skin to spine to determine whether there is any relationship between patients age, body mass index (BMÏ), weight and the distance from the skin to the spine. The measurment of the distance from skin to the spine is not as well preformed as the distance from skin to t...
متن کاملPercutaneous intraspinal navigation: feasibility study of a new and minimally invasive approach to the spinal cord and brain in cadavers.
We describe a percutaneous approach for cerebral surgical access. After lumbar puncture, the spinal subarachnoid space was traversed by using standard angiographic guidewire techniques until the introducer catheters were in the intracranial space. Under fluoroscopic guidance, the intracranial subarachnoid space was navigated, and the ventricular system entered. Subarachnoid placement was confir...
متن کاملInvestigating the status of people with special needs access to urban space and effect on voluntary activity in Mashhad-Iran Case study: Educational-Charity Complex Rehabilitation
The creation of urban space so that all segments of society can benefit from its facilities, provides opportunities for community participation and social activity and prevents their social isolation. In this study, we investigate the status of people with special needs access of urban space and its impact on volunteer activity in Mashhad. The approach of the present study is qualitative-quant...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of vascular and interventional neurology
دوره 8 2 شماره
صفحات -
تاریخ انتشار 2015