TY  - CHAP
M1  - Book, Section
TI  - Chapter 117. Lateral Cervical Puncture
A1  - Reichman, Eric F.
PY  - 2013
T2  - Emergency Medicine Procedures, 2e
AB  - The  safest  procedure  to  obtain  cerebrospinal  fluid  (CSF)  is  lumbar  puncture.  However,  there  are  situations  where  lumbar  puncture  is  either  contraindicated  or  technically  not  feasible.  This  includes  infections  in  the  lumbar  area,  obesity,  previous  spinal  surgery,  previous  spinal  fusion,  a  history  of  arachnoiditis,  and  the  previous  injection  of  chemotherapeutics.  The  usual  and  safe  alternative  method  is  a  lateral  cervical  puncture  under  such  circumstances.  Cisternal  puncture  describes  the  suboccipital  access  to  cisterna  magna,  a  CSF  containing  space.  It  is  a  less  frequently  used  procedure  due  to  the  high  incidence  of  complications.  As  a  result,  cisternal  puncture  should  be  performed  by  a  Neurosurgeon  for  patients  whose  CSF  cannot  be  accessed  by  lumbar  puncture  or  lateral  cervical  puncture.1  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=57712526
ER  -