�ber Zwischenf�lle bei der Suboccipitalpunktion

Kehrer, Hans E.

doi:10.1007/bf00216173

Cited by 7 publications

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“…Kehrer, in 1949, reports that he performed 8,335 CM punctures, with four deaths. The literature up to that time documented 28 deaths, the vast majority due to subarachnoid hemorrhage 16 . In the early 1960s, Winn featured CM as the preferred site for the infusion of amphotericin B in the treatment of coccidioidal meningitis, arguing that intrathecal and intravenous therapy association were beneficial.…”

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Pioneers in the cisterna magna puncture

Souza¹

2020

Arq. Neuro-Psiquiatr.

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At the beginning of the 20th century, cerebrospinal fluid (CSF) collection and analysis emerged as a promising aid in the diagnosis of diseases of the central nervous system. It was obtained through the established procedure of lumbar puncture, described by Heinrich Quinke in 1891. The search for an alternative way to gather the CSF arose in animal research, highlighting the cisterna magna as a promising source, with relative safety when performed by someone trained. Described initially and in detail by James Ayer in 1920, the procedure was widely adopted by neurologists and psychiatrists at the time, featuring its multiple advantages and clinical applications. After a period of great procedure use and exponential data collection, its complications and risks relegated the puncture of the cisterna magna as an alternative route that causes fear and fascination in modern neurology. RESUMONo início do século XX, a coleta e análise do líquido cefalorraquidiano (LCR) despontavam como um promissor auxílio no diagnóstico das doenças do sistema nervoso central. Sua obtenção se dava através do consagrado procedimento de punção lombar, descrito por Heinrich Quinke em 1891. A busca por uma via alternativa na obtenção do LCR ganhou relevância nas pesquisas animais, destacando-se na cisterna magna promissora fonte, com relativa segurança quando executada por alguém treinado. Descrito inicialmente e de maneira pormenorizada por James Ayer em 1920, o procedimento foi amplamente adotado por neurologistas e psiquiatras à época, com destaque para suas múltiplas vantagens e aplicações clínicas. Após um período de grande uso do procedimento e exponencial obtenção de dados, suas complicações e riscos relegaram a punção da cisterna magna como via alternativa que causa medo e fascínio na neurologia moderna.

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confidence: 99%