A needle is placed in the lumbar subarachnoid space below end of spinal cord with fluoroscopic guidance. Contrast is then instilled allowing examination of the lumbar, thoracic or cervical regions. Cervical Puncture - the patient's skin will be prepped and a local anesthesia administered. A needle is placed in the cervical subarachnoid space behind or lateral to the spinal cord with fluoroscopic guidance. Contrast is then instilled, usually for examination of cervical and thoracic regions, for cases of suspected spinal cord compression, or for lumbar examination when lumbar puncture is contraindicated or difficult.
Patient lies on a tilt table.
A needle is placed in the subarachnoid space. CSF is withdrawn for examination. The patient will feel pressure during needle placement. May get a headache from contrast injection. Maintain position and follow directions as given.