Most of the anaesthesia related neurological complications are associated with paresthesia upon introduction spinal needle. Steroids may shorten duration effects caused by nerve injury. A 27-year-old female patient undergoing caesarean section experienced during intrathecal After wore off, she developed tactile allodynia. Intravenous hydrocortisone was given; marked improvement pain and allodyn...

Identification of the subarachnoid space has traditionally been achieved by either a blind landmark-guided approach or using prepuncture ultrasound assistance. To assess the feasibility of performing spinal anaesthesia under real-time ultrasound guidance in routine clinical practice we conducted a single center prospective observational study among patients undergoing lower limb orthopaedic sur...

Intravasation of Pantopaque at myelography is usually related to entry or partial entry of a spinal needle into an epidural vein . This may occur initially, while positioning a spinal needle, or during repuncture for removal of contrast agent. We observed an atraumatic lumbar puncture at the L3-L4 interspace made with a single pass, in which intravasation of contrast material occurred in the mi...

OBJECTIVE We conducted this study to develop a sonographically guided approach to the spinal nerve of the lumbar spine and to assess its feasibility and accuracy by means of computed tomography (CT). METHODS Fifty sonographically guided approaches at 5 levels (L1-S1) were performed on 5 embalmed cadavers, which were positioned prone. The spinal nerves of the lumbar spine were shown under sono...

We describe a case of spinal cord injury caused by direct trauma from a local anaesthetic infiltration needle. During local anaesthetic infiltration before placement of an epidural catheter, the patient suddenly rolled over onto her back, causing the infiltrating needle to advance all the way to its hub. She immediately showed signs of spinal cord injury, confirmed by MRI scan. However, her neu...

Post spinal puncture headache (PSPH) is a well known complication of spinal anesthesia. It occurs after spinal anesthesia induction due to dural and arachnoid puncture and has a significant effect on the patient's postoperative well being. This manuscript is based on an observational study that runs on Babol University of Medical Sciences and review of literatures about current concepts about t...

BACKGROUND We present a simple technique of arthroscopic rotator cuff repair using a spinal needle and suture loop. METHODS With the arthroscope laterally, a spinal needle looped with PDS is inserted percutaneously into the shoulder posteriorly and penetrated through the healthy posterior cuff tear margin. Anteriorly, another spinal needle loaded with PDS is inserted percutaneously to engage ...

BACKGROUND AND OBJECTIVES Intracranial subdural hematoma is a rare complication following spinal anesthesia. The diagnosis is usually difficult because initial symptoms are the same of post-dural puncture headache. The objective was to report a case of early diagnosed subdural hematoma after spinal anesthesia performed with a fine-gauge needle and single puncture. CASE REPORT 48-year old fema...

The medical procedure is described as follows. First (Fig.1a), (epidural catheter) is inserted into the space between the spinal cord (epidural space in L2-L3 lu first uses a local anesthetic to numb the area where the needle will be inserted. Then the guide needle is inserted and removed, while the catheter remains in place Then (Fig.1b), the propulsion and steering of the magnetic helicoïdal ...

Nusinersen (ISIS-SMNRx or ISIS 396443) is an antisense oligonucleotide drug administered intrathecally to treat spinal muscular atrophy. We summarize lumbar puncture experience in children with spinal muscular atrophy during a phase 1 open-label study of nusinersen and its extension. During the studies, 73 lumbar punctures were performed in 28 patients 2 to 14 years of age with type 2/3 spinal ...