title: Sonographically guided lumbar puncture in pediatric patients.
abstract: 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.
authors.affiliation: 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.
authors.forename: Page I
authors.initials: PI
authors.lastname: Wang
authors.forename: Anthony C
authors.initials: AC
authors.lastname: Wang
authors.forename: Jennifer O
authors.initials: JO
authors.lastname: Naidu
authors.forename: Michael A
authors.initials: MA
authors.lastname: Dipietro
authors.forename: Pia C
authors.initials: PC
authors.lastname: Sundgren
authors.forename: Douglas J
authors.initials: DJ
authors.lastname: Quint
authors.forename: Hemant A
authors.initials: HA
authors.lastname: Parmar
authors.forename: Gaurang V
authors.initials: GV
authors.lastname: Shah
authors.forename: Karin M
authors.initials: KM
authors.lastname: Muraszko
authors.forename: Ashok
authors.initials: A
authors.lastname: Srinivasan
mesh_terms: D000293:Adolescent; D002555:Cerebrospinal Fluid / Q000166:cytology* / Q000000981:diagnostic imaging*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods*; D007223:Infant; D008297:Male; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013129:Spinal Puncture / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: lumbar puncture; pediatric; sonography