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The Lateral C1-C2 Puncture: Indications, Technique, and Potential Complications
Steven P Daniels1, Andrew D Schweitzer1, Ritwik Baidya2
11 Department of Radiology, New York Presbyterian Hospital-Weill Cornell Medical Center, 525 E 68th St, Box 141, New York, NY 10065.
AJR. American Journal of Roentgenology
|December 5, 2018
Summary
The lateral C1-C2 puncture offers a safe approach for cerebrospinal fluid collection, myelography, and cordotomy access. Radiologists must master this technique for effective and secure patient care.
Area of Science:
- Neurosurgery
- Radiology
- Anatomy
Background:
- The lateral C1-C2 puncture is a specialized neurointerventional technique.
- It provides access to the cerebrospinal fluid (CSF) space and spinal cord.
Purpose of the Study:
- To detail the indications for the lateral C1-C2 puncture.
- To describe the procedural technique.
- To outline potential complications.
Main Methods:
- Review of anatomical landmarks for C1-C2 access.
- Step-by-step description of the lateral C1-C2 puncture technique.
- Discussion of imaging guidance and safety measures.
Main Results:
- The lateral C1-C2 approach is effective for CSF collection.
- It is suitable for contrast injection in myelography.
- It provides access for cordotomy procedures.
Conclusions:
- The lateral C1-C2 puncture is a versatile neurointerventional procedure.
- Radiologists require proficiency in this technique for indicated cases.
- Understanding potential complications ensures procedural safety.
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