Ultrasound Guided Diagnostic Lumbar Puncture in Neurology
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/26/2019 |
| Start Date: | July 20, 2017 |
| End Date: | December 31, 2021 |
Subjects who are having a lumbar puncture as part of their clinical care will be randomized
to either a traditional landmark based lumbar puncture or ultrasound guided lumbar puncture.
The primary objective of study is to compare the success rate of obtaining CSF using
Ultrasound guided technique against the Traditional Landmark based approach. Secondary
objectives are to evaluate factors influencing the success or failure, patient tolerance, and
a safety assessment.
to either a traditional landmark based lumbar puncture or ultrasound guided lumbar puncture.
The primary objective of study is to compare the success rate of obtaining CSF using
Ultrasound guided technique against the Traditional Landmark based approach. Secondary
objectives are to evaluate factors influencing the success or failure, patient tolerance, and
a safety assessment.
Seventy-two subjects will be randomized into either a traditional landmark-based lumbar
puncture or an ultrasound-guided lumbar puncture for obtaining CSF. This study will be
conducted in the Neurology clinic. For subjects in the traditional group, the site of needle
entry will be determined through palpation of the spine. For subjects in the ultrasound
group, site entry will be done using ultrasound guidance. Success and failure of these
techniques will be compared along with secondary outcome measures aimed at assessing the
safety and efficacy of each of these techniques.
puncture or an ultrasound-guided lumbar puncture for obtaining CSF. This study will be
conducted in the Neurology clinic. For subjects in the traditional group, the site of needle
entry will be determined through palpation of the spine. For subjects in the ultrasound
group, site entry will be done using ultrasound guidance. Success and failure of these
techniques will be compared along with secondary outcome measures aimed at assessing the
safety and efficacy of each of these techniques.
Inclusion Criteria:
- Patient scheduled for LP through Neurology's LP clinic
- 18 years of age or older
- Able to understand the description of procedure and provide informed consent
Exclusion Criteria:
- Any contraindications to doing a standard lumbar puncture; which typically includes
risk of bleeding from effects of anticoagulants or bleeding disorders or an infection
at the potential site of entry in the back. This includes subjects with spinal cord
stimulators.
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