Presentation
Difficult lumbar puncture on the ward
Patient Data
Age: 75 years
Gender: Male
From the case:
Fluoroscopic guided lumbar puncture



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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.
Case Discussion
Lumbar puncture performed in fluoroscopy in the prone position.