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At least 145 records · Page 8Linked to original sources
PubMed1978

Cervical and lumbar routes for metrizamide cervical examination.

The C1-C2 lateral spinal puncture for metrizamide injection is compared to decubitus lumbar puncture for cervical myelography. By lumbar route, the contrast medium was taken into the cervical region with the patient prone. The instances when the lumbar route could not be used include cervical spinal trauma, spinal deformity, and lumbar epidural infection. Routine metrizamide cervical myelography by the C1-C2 route has better film quality and probably fewer short-term adverse reactions than use of the lumbar route of injection.

Cervical Vertebrae↗
PubMed1996

[Comparative analysis of the results of spinal fluid microbiological study in children and adults who suffered from tuberculous meningitis].

An examination was made of 133 children and 89 adults, aged 3 to 60 years, who had admitted for suspected tuberculous meningitis. The diagnosis of tuberculous meningitis was established in 113 children and 79 adults. In the remaining 20 ill children and 10 adult patients, tuberculous etiology of the disease was rejected. After puncture, spinal fluid was examined by three methods, bacretioscopy, cultivation, and biological assay. Bacterioscopy detected Mycobacteria tuberculosis in 5.3 and 2.5% of ill children and adults, respectively. Types of M. tuberculosis were isolated more frequently in children (n = 66 (58.4%)) than in adults (n = 22 (27.9%)) by bacteriology and in 39 (34.5%) and 15 (30.0%) adults by biological assay. The spinal fluid much more frequently displayed changed forms (L forms) of M. tuberculosis than bacterial ones. They were isolated in 62 (54.9%) and 59 (74.6%) adults by cultivation. On the whole, spinal fluid cultivation for L forms of M. tuberculosis allowed the total detection percentages for an etiological factor to be increased in children and adults, who both suffered from tuberculous meningitis, they accounted for 87.6 and 87.3%, respectively.

Adolescent↗
PubMed1991

[A case of Behçet's disease with neurologic involvement: a clinical, neuroradiological, neurophysiological study and therapeutic considerations].

The Authors report a case of Behçet disease with neurological involvement appeared some years after the initial diagnosis. Clinical evaluation of CNS damages was completed by neurophysiological and neuroradiological tests: Computerized Tomography (CT), Nuclear Magnetic Resonance (NMR), Pyramidal Evoked Potentials (MAPs), Somato Sensorial Evoked Potentials (SEPs), spinal puncture. Immunosuppressive therapies are also described.

Adult↗
PubMed2004

Development of a difficulty score for spinal anaesthesia.

BACKGROUND: Multiple attempts at spinal puncture may be hazardous. Accurate preoperative prediction of difficulty adds to the delivery of high quality care. This clinical trial was designed to: (i). determine the predictive performance of difficulty variables; (ii). compare senior and junior anaesthetists; (iii). develop a score to predict difficulty during the performance of spinal anaesthesia. METHODS: A total of 300 patients subjected to urological procedures and scheduled for spinal anaesthesia were independently assessed and stratified according to the categories of the difficulty predictors of spinal anaesthesia into one of nine grades (0-8) and randomized according to the experience of the anaesthetist into two groups (group A, staff with more than 15 yrs' experience; group B, resident with more than 6 months but less than 1 yr in training). The number of attempts and levels, and success rate of the technique were the outcome variables. Data were analysed by multivariate analysis and receiver operating characteristic (ROC) curves. RESULTS: The bony landmarks of the back and the radiological characteristics of the lumbar vertebrae were two independent predictors of difficulty. Multivariate analysis indicated differences between junior and senior staff but ROC curves indicated no difference. Grade 4 was the difficulty score at or above which difficulty was expected whether or not radiological characteristics of the vertebrae were included. CONCLUSIONS: Spinal bony landmarks and radiological characteristics of the lumbar vertebrae are independent predictors of difficulty during spinal anaesthesia. There is no difference between senior and junior anaesthetists. Grade 4 is the difficulty score at or above which difficulty is expected.

Adult↗
PubMedDate not supplied

[Use of tiapride in internal medicine (author's transl)].

Tiapride is tested about 47 in-patients among 6 morbid conditions studied. Tiapride is particulary effective in 4 diseases : delirium tremens, nervous and mental disordes associated with alcoholic addiction are obviously improbed in 2/3 of cases ; the betterment of motor and behaviour disordes concerning old people and the prevention of cephalagia succeding spinal puncture is sure with tiapride. The clinical and biological tolerance is excellent particulary in precarious patients.

Aged↗
PubMed1976

Headache in classical hemophilia. The risk of diagnostic procedures.

Headache in a hemophiliac poses a major problem. The fact that at least half of hemophiliacs with proven intracranial hemorrhage present with a headache but no preexisting injury, requires an aggressive approach to the management of these patients. Recent articles point out successful instances of craniotomy in hemophilia, but relatively few hemophiliacs with headaches progress to that stage. We have reviewed the literature and added three cases in an attempt to establish the risk of spinal puncture and cerebral angiography in the evaluation of these patients. The data presented suggests that with replacement therapy and attention to angiographic technique, both procedures may be performed with minimal risk.

Cerebral Angiography↗
PubMed1980

Lumbosacral meningismus complicating subdural injection of "blood patch": case report.

The published literature suggests that the technique of epidural "blood patch" injection is both safe and effective for the treatment and prevention of headache after spinal puncture. However, a case is reported in which the complications following a "blood patch" outweighed the disability and discomfort produced by the headache itself. The etiology is believed to have been inadvertent injection of blood into the subarachnoid space.

Adult↗
PubMed1989

[The hypertensive-hydrocephalic syndrome in the clinical picture of schizophrenia].

Combined clinical neurological study was performed in 111 schizophrenic patients with acute, subacute psychotic signs and at the end of psychosis. Techniques included echoencephalography, eye fundus study, spinal puncture. None of the patients had a history of craniocerebral trauma, neuroinfections, chronic alcoholism, severe somatic diseases. In 53.1% of the patients intracranial hypertension syndrome was detected with the highest rate in patients with acute psychotic signs. Besides, the hypertension syndrome was found to be related to the type of schizophrenia course: it was twice as frequent in attack forms as in permanent ones. The authors suggest that intracranial hypertension has a distinct role to play in the pathogenesis of acute schizophrenic attacks.

Adolescent↗
PubMed1992

[Fine needle myelography. Current status].

One hundred three patients with different diseases of the vertebral or spinal column were studied with hydrosoluble myelography. In fifty-three patients spinal puncture was carried out with a 25 G needle (fine) and in the remaining 50 patients a 22 G needle (thick) was used. Post myelographic control by means of a scale which we designed permitted the clear establishment of the responsibility of needle diameter in the incidence of complications, fundamentally cephaleas with 11.3% with the 25 G needle vs 66% with the 22 G needle. Following the therapies herein suggested, only rarely was there a complication of little significance thereby encouraging the use of this method when non invasive procedures are insufficient for clarifying diagnostic doubts.

Adult↗
PubMed1975

Prevention of headache consequent upon dural puncture in obstetric patient.

Three consecutive groups of 50 obstetric patients received spinal anaesthesia. The control group received no prophylactic treatment for spinal headache, the second group were treated by the epidural injection of 20-25 ml of normal saline and the third group were treated by abdominal binder. There was no statistically significant difference between the two forms of treatment but the results show that the incidence of post spinal puncture headache can be significantly reduced by applying either of them.

Anesthesia, Obstetrical↗