Punção cervical lateral para mielografia e coleta do líquido cefalorraqueano: nota técnica

Rossitti, Sandro; Balbo, Roque J.

doi:10.1590/s0004-282x1988000400011

Arq. Neuro-Psiquiatr.

1988

DOI: 10.1590/s0004-282x1988000400011

|View full text |Cite

Punção cervical lateral para mielografia e coleta do líquido cefalorraqueano: nota técnica

Sandro Rossitti

Roque J. Balbo

Abstract: RESUMO -A punção cervical lateral para mielografia ou obtenção de líqüido cefalorra-¬ queano é modificação da técnica de cordotomia ântero-lateral cervical percutânea e pode ser realizada nos níveis atlanto-axial e atlanto-occipital.Técnica simples e segura, oferece em casos específicos vantagens óbvias sobre a punção lombar e cisternal mediana, sem grande desconforto para o paciente.Lateral cervical puncture fur myelography and cerebrospinal fluid collection : technical note.SUMMARY -The lateral cervical punc… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

1989

2018

Publication Types

Select...

Article2

Relationship

Self Cite1

Independent1

Authors

Journals

Cited by 2 publications

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Dor faríngea durante punção suboccipital lateral: lateral suboccipital puncture

Rossitti

Araújo

Zuiani

et al. 1989

Arq. Neuro-Psiquiatr.

Self Cite

View full text Add to dashboard Cite

RESUMO -Foi observada queixa de dor orofaríngea em cinco pacientes, conscientes e bons informantes, durante realização de punção suboccipital lateral da cisterna magna para mielo-¬ grafia e/ou coleta de liqüido cefalorraqueano.São revisadas as anastomoses dos nervos cranianos inferiores, com ênfase às relações do primeiro nervo ín.) cervical (Cl) com o gânglio cervical superior da cadeia simpática e com o n. acessório (n. XI), a convergência anatômica sensitiva no subnúcleo caudal do núcleo do tracto espinhal do n. trigêmeo e sua importância na cirurgia funcional da dor.É sugerido que a referência de dor faríngea durante a punção suboccipital lateral se deva a estimulação de fibras aferentes viscerais de Cl ou de ramos comunicantes cinzentos do gânglio cervical superior para Cl.Pharyngeal pain during: lateral suboccipital puncture. SUMMARY -Oropharyngeal pain was referredby five fully conscious and collaborative patients during lateral suboccipital puncture (LSP) of the cisterna magna, performed for myelography and/or cerebrospinal fluid collection. The anastomotic connections between the lower cranial nerves, the sympathetic nerves and the upper cervical spinal nerves are reviewed, with emphasis on the relationship between the first cervical nerve (CI), the superior cervical ganglion of the sympathetic trunk, and the spinal accessory nerve (nerve XI), and their central connections.The authors conclude that pharyngeal pain during LSP is provoked by the stimulation of afferent visceral fibers of CI, or of the gray communicating branches of the superior cervical ganglion to CI.A punção suboccipital lateral da cisterna magna presta-se a coleta de líquido cefalorraqueano (LCR) e a injeção de contraste iodado para mielografia. É realizada com o paciente em decúbito prono ou supino, introduzindo-se após antissepsia e anestesia local (esta última nem sempre necessária) agulha em ponto de referência de 10 a 25 mm dorsal ao ápice da mastóide, em direção paralela ao plano horizontal anatômico. A agulha, inserida paralela ao plano de apoio do paciente, penetra a cisterna magna em sua extensão lateral através do interespaço atlanto-occipital 6. Essa técnica tem se mostrado mais eficaz que a punção cervical lateral (no interespaço atlanto-axial), pois o ponto de referência é mais constante, os planos anatômicos proporcionam melhor fixação para a agulha e o espaço subaracnóideo é mais amplo. Em nossa clínica a punção suboccipital e a punção cervical pela via lateral são realizadas sem o emprego rotineiro de controle radioscópico io.O propósito desta comunicação é relatar fenômeno curioso que observamos durante esse procedimento e, do qual, desconhecemos referência anterior.

show abstract

Dor faríngea durante punção suboccipital lateral: lateral suboccipital puncture

Rossitti

Araújo

Zuiani

et al. 1989

Arq. Neuro-Psiquiatr.

Self Cite

View full text Add to dashboard Cite

show abstract

A new method of subarachnoid puncture for clinical diagnosis and treatment: lateral atlanto-occipital space puncture

Gong¹,

Hai-yan²,

Yuan³

2018

Journal of Neurosurgery

View full text Add to dashboard Cite

OBJECTIVE Lumbar puncture may not be suitable for some patients needing subarachnoid puncture, while lateral C1-2 puncture and cisterna magna puncture have safety concerns. This study investigated lateral atlanto-occipital space puncture (also called lateral cisterna magna puncture) in patients who needed subarachnoid puncture for clinical diagnosis or treatment. The purpose of the study was to provide information on the complications and feasibility of this technique and its potential advantages over traditional subarachnoid puncture techniques. METHODS In total, 1008 lateral atlanto-occipital space puncture procedures performed in 667 patients were retrospectively analyzed. The success rate and complications were also analyzed. All patients were followed up for 1 week after puncture. RESULTS Of 1008 lateral atlanto-occipital space punctures, 991 succeeded and 17 failed (1.7%). Fifteen patients (2.25%) reported pain in the ipsilateral external auditory canal or deep soft tissue, 32 patients (4.80%) had a transient increase in blood pressure, and 1 patient (0.15%) had intracranial hypotension after the puncture. These complications resolved fully in all cases. There were no serious complications. CONCLUSIONS Lateral atlanto-occipital space puncture is a feasible technique of subarachnoid puncture for clinical diagnosis and treatment. It is associated with a lower rate of complications than lateral C1-2 puncture or traditional (suboccipital) cisterna magna puncture. It may have potential in the neurological diagnostic and treatment fields.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Punção cervical lateral para mielografia e coleta do líquido cefalorraqueano: nota técnica

Cited by 2 publications

References 8 publications

Dor faríngea durante punção suboccipital lateral: lateral suboccipital puncture

Dor faríngea durante punção suboccipital lateral: lateral suboccipital puncture

A new method of subarachnoid puncture for clinical diagnosis and treatment: lateral atlanto-occipital space puncture

Contact Info

Product

Resources

About