• J Ultrasound Med · Dec 2013

    Clinical Trial

    Sonographically guided lumbar puncture in pediatric patients.

    • Page I Wang, Anthony C Wang, Jennifer O Naidu, Michael A Dipietro, Pia C Sundgren, Douglas J Quint, Hemant A Parmar, Gaurang V Shah, Karin M Muraszko, and Ashok Srinivasan.
    • Department of Radiology, University of Michigan, A. Alfred Taubman Health Care Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 USA. pagew@umich.edu.
    • J Ultrasound Med. 2013 Dec 1;32(12):2191-7.

    AbstractOur 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.

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