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Sonographically Guided Lumbar Puncture in Pediatric Patients
Author(s) -
Wang Page I.,
Wang Anthony C.,
Naidu Jennifer O.,
DiPietro Michael A.,
Sundgren Pia C.,
Quint Douglas J.,
Parmar Hemant A.,
Shah Gaurang V.,
Muraszko Karin M.,
Srinivasan Ashok
Publication year - 2013
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/ultra.32.12.2191
Subject(s) - medicine , lumbar puncture , intrathecal , pelvis , lumbar , hematoma , radiology , spinal puncture , modality (human–computer interaction) , radiation dose , surgery , nuclear medicine , cerebrospinal fluid , pathology , human–computer interaction , computer science
Our aim with this study was to develop a user‐friendly method for pediatric sonographically guided lumbar punctures so that we can visualize intrathecal anatomy, confirm intrathecal injection at the time of injection, and, most importantly, avoid ionizing radiation to a child's already radiosensitive pelvis. Sonographically guided lumbar puncture was prospectively performed in children aged 7 weeks to 16 years. All attempts (n = 9) were successful. We were able to identify relevant anatomy (including the conus in children 10 years and younger), confirm intrathecal injection, visualize intrathecal hematoma, and avoid radiation. Sonography is a promising modality for image‐guided lumbar punctures without radiation in children.