{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T15:58:00Z","timestamp":1788364680906,"version":"build-2803163510"},"reference-count":52,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Neuroimaging Clinics of North America"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.nic.2024.08.020","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T23:18:51Z","timestamp":1727133531000},"page":"41-52","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Alternative Percutaneous Dural Puncture Routes"],"prefix":"10.1016","volume":"35","author":[{"given":"Tarik F.","family":"Massoud","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan A.","family":"Lanzman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.nic.2024.08.020_bib1","first-page":"147","article-title":"The first lumbar puncture","volume":"6","author":"Frederiks","year":"1997","journal-title":"J\u00a0Hist Neurosci"},{"key":"10.1016\/j.nic.2024.08.020_bib2","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1007\/s10072-015-2104-6","article-title":"Cerebrospinal fluid and lumbar puncture: the story of a necessary procedure in the history of medicine","volume":"36","author":"Zambito Marsala","year":"2015","journal-title":"Neurol Sci"},{"key":"10.1016\/j.nic.2024.08.020_bib3","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1002\/ca.10250","article-title":"Lumbar puncture: anatomical review of a clinical skill","volume":"17","author":"Boon","year":"2004","journal-title":"Clin Anat"},{"key":"10.1016\/j.nic.2024.08.020_bib4","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.3174\/ajnr.A5128","article-title":"Difficult lumbar puncture: pitfalls and tips from the trenches","volume":"38","author":"Hudgins","year":"2017","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.nic.2024.08.020_bib5","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.3174\/ajnr.A3914","article-title":"Fluoroscopic-guided lumbar puncture: fluoroscopic time and implications of body mass index\u2014a baseline study","volume":"35","author":"Boddu","year":"2014","journal-title":"Am J Neuroradiol"},{"key":"10.1016\/j.nic.2024.08.020_bib6","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1007\/s00276-004-0228-0","article-title":"The lumbo-gluteal adipose body","volume":"26","author":"Kahn","year":"2004","journal-title":"Surg Radiol Anat"},{"key":"10.1016\/j.nic.2024.08.020_bib7","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1001\/archneurpsyc.1920.02180230052005","article-title":"Puncture of the cisterna magna","volume":"4","author":"Ayer","year":"1920","journal-title":"Arch Neurol Psychiatr"},{"key":"10.1016\/j.nic.2024.08.020_bib8","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1227\/00006123-198909000-00015","article-title":"Anatomic evaluation of cisternal puncture","volume":"25","author":"Ward","year":"1989","journal-title":"Neurosurgery"},{"key":"10.1016\/j.nic.2024.08.020_bib9","first-page":"571","article-title":"How to do a cisternal puncture","volume":"24","author":"Kendall","year":"1980","journal-title":"Br J Hosp Med"},{"key":"10.1016\/j.nic.2024.08.020_bib10","first-page":"10","article-title":"Cisternal puncture complications. Treatment of coccidioidal meningitis with amphotericin B","volume":"119","author":"Keane","year":"1973","journal-title":"Calif Med"},{"key":"10.1016\/j.nic.2024.08.020_bib11","first-page":"146","article-title":"A\u00a0new method of subarachnoid puncture for clinical diagnosis and treatment: lateral atlanto-occipital space puncture","volume":"129","author":"Gong","year":"2018","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.nic.2024.08.020_bib12","first-page":"931","article-title":"Percutaneous interruption of spinal pain tracts by means of Strontium 90 needle","volume":"20","author":"Mullan","year":"1963","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.nic.2024.08.020_bib13","first-page":"639","article-title":"Percutaneous radiofrequency cervical cordotomy: technique","volume":"23","author":"Rosomoff","year":"1965","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.nic.2024.08.020_bib14","first-page":"106","article-title":"Lateral cervical puncture for myelography. Technical note","volume":"29","author":"Kelly","year":"1968","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.nic.2024.08.020_bib15","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1148\/102.3.629","article-title":"The role of gas myelography in neuroradiologic diagnosis","volume":"102","author":"Heinz","year":"1972","journal-title":"Radiology"},{"issue":"1","key":"10.1016\/j.nic.2024.08.020_bib16","first-page":"5","article-title":"Development of the C1-C2 puncture in neuroradiology: a historical note","volume":"26","author":"Heinz","year":"2005","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.nic.2024.08.020_bib17","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1148\/132.3.760","article-title":"Lateral C1-2 puncture for myelography: posterior approach","volume":"132","author":"Rice","year":"1979","journal-title":"Radiology"},{"key":"10.1016\/j.nic.2024.08.020_bib18","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1148\/radiology.136.1.7384505","article-title":"C1-2 puncture with the patient supine for thoracic metrizamide myelography","volume":"136","author":"Gabrielsen","year":"1980","journal-title":"Radiology"},{"key":"10.1016\/j.nic.2024.08.020_bib19","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1148\/radiology.146.2.6687369","article-title":"Lateral C1-2 puncture for cervical myelography. Part II: recognition of improper injection of contrast material","volume":"146","author":"Orrison","year":"1983","journal-title":"Radiology"},{"issue":"2","key":"10.1016\/j.nic.2024.08.020_bib20","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1148\/radiology.146.2.6687370","article-title":"Lateral C1-2 puncture for cervical myelography. Part III: historical, anatomic, and technical considerations","volume":"146","author":"Orrison","year":"1983","journal-title":"Radiology"},{"key":"10.1016\/j.nic.2024.08.020_bib21","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1148\/radiology.158.2.3753627","article-title":"Dural infolding during C1-2 myelography","volume":"158","author":"Burt","year":"1986","journal-title":"Radiology"},{"key":"10.1016\/j.nic.2024.08.020_bib22","first-page":"1562","article-title":"C1 posterior arch flare point: a useful landmark for fluoroscopically guided C1-2 puncture","volume":"39","author":"Peckham","year":"2018","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.nic.2024.08.020_bib23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3174\/ng.1170183","article-title":"C1\u20132 puncture: a safe, efficacious, and potentially underused technique","volume":"7","author":"Gibbs","year":"2017","journal-title":"Neurographics"},{"key":"10.1016\/j.nic.2024.08.020_bib24","doi-asserted-by":"crossref","first-page":"389","DOI":"10.3171\/2017.9.PEDS17289","article-title":"Placement of baclofen pump catheter through a C1-2 puncture: technical note","volume":"21","author":"Aljuboori","year":"2018","journal-title":"J\u00a0Neurosurg Pediatr"},{"key":"10.1016\/j.nic.2024.08.020_bib25","doi-asserted-by":"crossref","first-page":"431","DOI":"10.2214\/AJR.18.19584","article-title":"The lateral C1-C2 puncture: indications, technique, and potential complications","volume":"212","author":"Daniels","year":"2019","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.nic.2024.08.020_bib26","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1007\/BF00327604","article-title":"Anomalous atlantoaxial portions of vertebral and posterior inferior cerebellar arteries","volume":"27","author":"Tokuda","year":"1985","journal-title":"Neuroradiology"},{"key":"10.1016\/j.nic.2024.08.020_bib27","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s00234-011-0849-z","article-title":"Vertebral artery variations at the C1-2 level diagnosed by magnetic resonance angiography","volume":"54","author":"Uchino","year":"2012","journal-title":"Neuroradiology"},{"key":"10.1016\/j.nic.2024.08.020_bib28","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1007\/s00234-014-1399-y","article-title":"Vertebral artery variations and osseous anomaly at the C1-2 level diagnosed by 3D CT angiography in normal subjects","volume":"56","author":"Wakao","year":"2014","journal-title":"Neuroradiology"},{"key":"10.1016\/j.nic.2024.08.020_bib29","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1259\/0007-1285-54-643-572","article-title":"Vascular anatomy in the suboccipital region and lateral cervical puncture","volume":"54","author":"Cox","year":"1981","journal-title":"Br J Radiol"},{"key":"10.1016\/j.nic.2024.08.020_bib30","doi-asserted-by":"crossref","first-page":"1396","DOI":"10.1136\/bmj.2.2550.1396","article-title":"Remarks on general spinal analgesia","volume":"2","author":"Jonnesco","year":"1909","journal-title":"Br Med J"},{"key":"10.1016\/j.nic.2024.08.020_bib31","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1093\/bja\/aen227","article-title":"Magnetic resonance imaging of the spinal column","volume":"101","author":"Imbelloni","year":"2008","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.nic.2024.08.020_bib32","first-page":"163","article-title":"The anatomy of the thoracic spinal canal investigated with magnetic resonance imaging (MRI)","volume":"58","author":"Lee","year":"2007","journal-title":"Acta Anaesthesiol Belg"},{"key":"10.1016\/j.nic.2024.08.020_bib33","first-page":"106","article-title":"The Incidence of paresthesia and neurologic complications after lower spinal thoracic puncture with cut needle compared to pencil point needle. Study in 300 patients","volume":"1","author":"Imbelloni","year":"2010","journal-title":"J\u00a0Anesth Clin Res"},{"key":"10.1016\/j.nic.2024.08.020_bib34","doi-asserted-by":"crossref","first-page":"26","DOI":"10.4103\/0259-1162.128900","article-title":"A\u00a0comparison of thoracic spinal anesthesia with low-dose isobaric and low-dose hyperbaric bupivacaine for orthopedic surgery: a randomized controlled trial","volume":"8","author":"Imbelloni","year":"2014","journal-title":"Anesth Essays Res"},{"key":"10.1016\/j.nic.2024.08.020_bib35","first-page":"001","article-title":"Thoracic spinal anesthesia with low doses of local anesthetic decreases the latency time, motor block and cardiovascular changes. study in 636 Patients","volume":"S11","author":"Imbelloni","year":"2011","journal-title":"J\u00a0Anesth Clin Res"},{"key":"10.1016\/j.nic.2024.08.020_bib36","first-page":"29","article-title":"Does paresthesia during spinal needle insertion indicate intrathecal needle placement?","volume":"34","author":"Pong","year":"2009","journal-title":"Reg Anesth Pain Med"},{"issue":"Suppl 4","key":"10.1016\/j.nic.2024.08.020_bib37","doi-asserted-by":"crossref","first-page":"S378","DOI":"10.1007\/s00586-011-1802-x","article-title":"CT-guided percutaneous translaminar approach for blood patching: case report and technical note","volume":"21","author":"Albayram","year":"2012","journal-title":"Eur Spine J"},{"key":"10.1016\/j.nic.2024.08.020_bib38","doi-asserted-by":"crossref","first-page":"193","DOI":"10.3174\/ajnr.A1701","article-title":"Percutaneous transosseous translaminar approach for thecal sac access in advanced ankylosing spondylitis with instrumented posterior spinal fusion","volume":"31","author":"Liu","year":"2010","journal-title":"AJNR Am J Neuroradiol"},{"issue":"1","key":"10.1016\/j.nic.2024.08.020_bib39","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/028418517201200101","article-title":"Transsacral puncture of the arachnoidal sac. An alternative procedure to lumbar puncture","volume":"12","author":"Haverling","year":"1972","journal-title":"Acta Radiol Diagn"},{"key":"10.1016\/j.nic.2024.08.020_bib40","doi-asserted-by":"crossref","first-page":"e231520","DOI":"10.1148\/radiol.231520","article-title":"Dural punctures through sacral posterior vertebral arch fusion defects: CT morphometric assessment and application in patients with spinal muscular atrophy","volume":"310","author":"Dhawan","year":"2024","journal-title":"Radiology"},{"key":"10.1016\/j.nic.2024.08.020_bib41","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1002\/ca.23359","article-title":"Are high lumbar punctures safe? A magnetic resonance imaging morphometric study of the conus medullaris","volume":"32","author":"Yedavalli","year":"2019","journal-title":"Clin Anat"},{"key":"10.1016\/j.nic.2024.08.020_bib42","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1097\/AAP.0b013e3181ac7bff","article-title":"Measurement of shift of the cauda equina in the subarachnoid space by changing position","volume":"34","author":"Takiguchi","year":"2009","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.nic.2024.08.020_bib43","doi-asserted-by":"crossref","first-page":"986","DOI":"10.3174\/ajnr.A5596","article-title":"Transforaminal lumbar puncture: an alternative technique in patients with challenging access","volume":"39","author":"Nascene","year":"2018","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.nic.2024.08.020_bib44","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1007\/s00247-017-4031-6","article-title":"Transforaminal intrathecal delivery of nusinersen using cone-beam computed tomography for children with spinal muscular atrophy and extensive surgical instrumentation: early results of technical success and safety","volume":"48","author":"Weaver","year":"2018","journal-title":"Pediatr Radiol"},{"key":"10.1016\/j.nic.2024.08.020_bib45","doi-asserted-by":"crossref","first-page":"183","DOI":"10.3174\/ajnr.A6351","article-title":"Simple fluoroscopy-guided transforaminal lumbar puncture: safety and effectiveness of a coaxial curved-needle technique in patients with spinal muscular atrophy and complex spines","volume":"41","author":"Jacobson","year":"2020","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.nic.2024.08.020_bib46","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1002\/ca.23533","article-title":"Magnetic resonance imaging anatomy and morphometry of lumbar intervertebral foramina to guide safe transforaminal subarachnoid punctures","volume":"33","author":"Khalaf","year":"2020","journal-title":"Clin Anat"},{"key":"10.1016\/j.nic.2024.08.020_bib47","doi-asserted-by":"crossref","first-page":"980","DOI":"10.3174\/ajnr.A7009","article-title":"A\u00a0systematic review of procedural complications from transforaminal lumbar puncture for intrathecal nusinersen administration in patients with spinal muscular atrophy","volume":"42","author":"Grayev","year":"2021","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.nic.2024.08.020_bib48","doi-asserted-by":"crossref","first-page":"253","DOI":"10.4103\/0259-1162.134526","article-title":"Transforaminal sacral approach for spinal anesthesia in orthopedic surgery: a novel approach","volume":"8","author":"Sujay","year":"2014","journal-title":"Anesth Essays Res"},{"key":"10.1016\/j.nic.2024.08.020_bib49","doi-asserted-by":"crossref","first-page":"80","DOI":"10.4103\/0019-5049.126809","article-title":"Sacral spinal anaesthesia","volume":"58","author":"Paria","year":"2014","journal-title":"Indian J Anaesth"},{"key":"10.1016\/j.nic.2024.08.020_bib50","doi-asserted-by":"crossref","first-page":"1555","DOI":"10.1007\/s00234-023-03147-4","article-title":"Feasibility of percutaneous dural sac puncture via a posterior trans-sacral foraminal conduit approach: a CT morphometric analysis","volume":"65","author":"Dhawan","year":"2023","journal-title":"Neuroradiology"},{"key":"10.1016\/j.nic.2024.08.020_bib51","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1002\/ca.23612","article-title":"Imaging anatomy of the vertebral canal for trans-sacral hiatus puncture of the lumbar cistern","volume":"34","author":"Trinh","year":"2021","journal-title":"Clin Anat"},{"key":"10.1016\/j.nic.2024.08.020_bib52","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1002\/mus.27782","article-title":"Feasibility of intrathecal therapeutic injections in spinal muscular atrophy patients via a percutaneous transsacral hiatus route: an initial neuroimaging morphometric study","volume":"67","author":"Dhawan","year":"2023","journal-title":"Muscle Nerve"}],"container-title":["Neuroimaging Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1052514924000674?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1052514924000674?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T15:35:26Z","timestamp":1755617726000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1052514924000674"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":52,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["S1052514924000674"],"URL":"https:\/\/doi.org\/10.1016\/j.nic.2024.08.020","relation":{},"ISSN":["1052-5149"],"issn-type":[{"value":"1052-5149","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Alternative Percutaneous Dural Puncture Routes","name":"articletitle","label":"Article Title"},{"value":"Neuroimaging Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nic.2024.08.020","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}