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Free Content CT‐Guided Transfacet Lumbar Puncture in a Patient with Hyperlordosis with Suspected Normal Pressure Hydrocephalus

Patients are often referred to our interventional radiology department for technically difficult lumbar punctures. Technical difficulties and failure arise in patients with scoliosis, severe spondylosis, and obesity. In our patient with lumbar hyperlordosis who needed a lumbar puncture for suspected normal pressure hydrocephalus, the conventional median interspinous and paramedian interlaminar approaches for needle advancement were repeatedly unsuccessful. Under CT guidance, a transfacet approach was successful on the first pass. To our knowledge, there is no published article on this novel approach.

Document Type: Research Article

Publication date: 01 April 2019

This article was made available online on 14 March 2019 as a Fast Track article with title: "CT–Guided Transfacet Lumbar Puncture in a Patient with Hyperlordosis with Suspected Normal Pressure Hydrocephalus".

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  • Neurographics is the peer-reviewed, quarterly educational journal of the American Society of Neuroradiology. The journal includes review articles as well as high-yield case reports that have been solicited from society meetings, including the annual meeting of the ASNR as well as the American Society of Spine Radiology, the American Society of Pediatric Neuroradiology, the American Society of Functional Neuroradiology, and the American Society of Head and Neck Radiology meetings. Unsolicited educational review articles and case reports are also accepted for review at the discretion of the Editor-in-Chief. Submissions focusing on a pictorial approach to educational objectives are highly encouraged. The journal is open access and available online. CME credit is offered for reading review articles and completing activity evaluations through the ASNR Education Connection website: https://www.pathlms.com/asnr
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