@article {Gibbs:2017:2637-8329:1,
title = "C12 Puncture: A Safe, Efficacious, and Potentially Underused Technique",
journal = "Neurographics",
parent_itemid = "infobike://asnr/ng",
publishercode ="asnr",
year = "2017",
volume = "7",
number = "1",
publication date ="2017-02-01T00:00:00",
pages = "1-8",
itemtype = "ARTICLE",
issn = "2637-8329",
eissn = "2637-8329",
url = "https://asnr.publisher.ingentaconnect.com/content/asnr/ng/2017/00000007/00000001/art00001",
doi = "doi:10.3174/ng.1170183",
keyword = "CSF = cerebrospinal fluid, PICA = posterior inferior cerebellar artery",
author = "Gibbs, W.N. and Skalski, M.R. and Kim, P.E. and Go, J.L. and Law, M.",
abstract = "A C12 puncture for injection of myelographic contrast, CSF collection, or administration of intrathecal chemotherapy is much less frequently used now than in the past. This is partially due to increased use of MR imaging for spinal imaging and decreased use of myelography. However,
there are contraindications to a lumbar approach, and, occasionally, a lumbar puncture fails, which requires a cervical approach to the subarachnoid space. Many neuroradiologists and trainees receive little practice in the technique and have the perception that the procedure is dangerous and
difficult to perform. A careful review of the literature revealed that complications are few. This review described the history of the C12 approach, indications, technique, and relevant anatomy, and a review of the literature related to a procedure's complications. We concluded with
a discussion of situations in which a C12 puncture is preferred by providing increased comfort and safety for select patient populations.Learning Objective: Understand the key components of a safe C12 puncture, including proper technique, anatomy, and potential complications.",
}