Ultrasound technique for identifying landmarks prior to lumbar puncture in infants
Pre-LP evaluation of the spinal landmarks. Ultrasonographic findings and probe orientation in longitudinal (panel A and C) and transverse (panel B and D) views of the lower spine. Posterior dural border (arrow); anterior dural border (dashed arrow).
(A) Subcutaneous tissue.
(B) Spinous process with bone shadowing.
(C) Epidural space.
(D) CSF in the dural sac.
(E) Cauda equina nerves.
(F) Vertebral body.
From: Gorn M, Kunkov S, Crain EF. Prospective investigation of a novel ultrasound-assisted lumbar puncture technique on infants in the pediatric emergency department. Acad Emerg Med 2017; 24:6.
http://onlinelibrary.wiley.com/wol1/doi/10.1111/acem.13099/abstract. Copyright © 2017 Society for Academic Emergency Medicine. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email:
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