Skip to main content
SpringerLink
Log in

Spinal Nerve Root Lesions After “In Vitro” Needle Puncture

  • Chapter
  • First Online:
Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine

  • 13k Accesses

Abstract

Lumbar punctures often are associated with unintentional paresthesias. The tip of the needle in contact with the spinal nerve root initiates depolarization of the axons, which the patient describes as electric shocks in the dermatomes innervated. The paresthesia is triggered by a mechanical stimulus along the axon.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Reina MA, De Andres J, Hernández JM, Navarro RA, Pastor J, Prats-Galino A. Looking for the development of paresthesias in the subarachnoid and epidural anaesthesia. A clinical and anatomical analysis. Reg Anesth Pain Med. 2011;36(Suppl):E17–22.

    Google Scholar 

  2. Reina MA, Lopez A, Villanueva MC, De Andrés JA. Possibility of cauda equina nerve root damage from lumbar punctures performed with 25-gauge Quincke and Whitacre needles. Rev Esp Anestesiol Reanim. 2005;52:267–75.

    CAS  PubMed  Google Scholar 

  3. Palacio F, Reina MA, Fornet I, López A. Parestesias con diferentes técnicas de bloqueo subaracnoideo con una aguja 27-G. Rev Esp Anestesiol Reanim. 2007;54:529–36.

    Google Scholar 

  4. Reynolds F. Damage to the conus medullaris following spinal anaesthesia. Anaesthesia. 2001;56:238–47.

    Article  CAS  PubMed  Google Scholar 

  5. Wall EJ, Cohen MS, Massie JB, Rydevik B, Garfin SR. Cauda equine anatomy. I: Intrathecal nerve root organization. Spine. 1990;15:1244–7.

    Article  CAS  PubMed  Google Scholar 

  6. Cohen MS, Wall EJ, Kerber CW, Abitbol JJ, Garfin SR. The anatomy of the cauda equina on CT scans and MRI. J Bone Joint Surg Br. 1991;73:381–4.

    CAS  PubMed  Google Scholar 

  7. Reina MA, Machés F, López A, De Andrés JA. The ultrastructure of the spinal arachnoid in humans and its impact on spinal anesthesia, cauda equina syndrome and transient neurological syndrome. Tech Reg Anesth Pain Manag. 2008;12:153–60.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Clinical Medical Sciences and Institute of Applied Molecular Medicine, School of Medicine, University of CEU San Pablo, Madrid, Spain

    Miguel Angel Reina MD, PhD

  2. Department of Anesthesiology, Madrid-Montepríncipe University Hospital, Madrid, Spain

    Miguel Angel Reina MD, PhD & Fabiola Machés MD

  3. Department of Clinical Medical Sciences, School of Medicine, CEU San Pablo University, Madrid, Spain

    Andrés López MD

  4. Department of Anesthesiology, Madrid-Montepríncipe University Hospital, Madrid-Torrelodones University Hospital, Madrid-Sanchinarro University Hospital, Madrid, Spain

    Andrés López MD

Authors
  1. Miguel Angel Reina MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Fabiola Machés MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Andrés López MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Miguel Angel Reina MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Department of Clinical Medical Sciences and Institute of Applied Molecular Medicine, School of Medicine, University of CEU San Pablo, Madrid, Spain, and Madrid-Montepríncipe University Hospital, Madrid, Spain

    Miguel Angel Reina

  2. Department of Surgical Specialties, Department of Anesthesia, Critical Care, and Pain Management, General University Hospital, School of Medicine, University of Valencia, Valencia, Spain

    José Antonio De Andrés

  3. College of Physicians and Surgeons, Department of Anesthesiology, St. Luke’s-Roosevelt Hospital Center, New York School of Regional, Anesthesia (NYSORA), New York, NY, USA, and Columbia University, New York, New York, USA

    Admir Hadzic

  4. Laboratory of Surgical NeuroAnatomy, Human Anatomy and Embryology Unit, School of Medicine, University of Barcelona, Barcelona, Spain

    Alberto Prats-Galino

  5. Department of Anesthesiology and Critical Care, Human Anatomy and Embryology Unit, School of Medicine, University of Barcelona, Barcelona, Spain, and Clinic Hospital, Barcelona, Spain

    Xavier Sala-Blanch

  6. Discipline of Anesthesiology, The University of Queensland and Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia

    André A.J. van Zundert

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Reina, M.A., Machés, F., López, A. (2015). Spinal Nerve Root Lesions After “In Vitro” Needle Puncture. In: Reina, M., De Andrés, J., Hadzic, A., Prats-Galino, A., Sala-Blanch, X., van Zundert, A. (eds) Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-09522-6_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-09522-6_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09521-9

  • Online ISBN: 978-3-319-09522-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation