Fluoroscopic guided lumbar puncture
Difficult lumbar puncture on the ward
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Informed consent obtained.
Patient positioned prone.
Sterile prep and drape.
1% lignocaine local anesthetic.
Under fluoroscopic guidance via posterior approach a 22G spinal needle was inserted into the L3/4 intervertebral space.
CSF samples obtained.
Needle removed and dressing applied.
No peri procedural complications observed.
Lumbar puncture performed in fluoroscopy in the prone position.