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British Journal of Radiology (1981) 54, 572-575
© 1981 British Institute of Radiology
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The British Journal of Radiology, Vol 54, Issue 643 572-575, Copyright © 1981 by British Institute of Radiology

ARTICLES

Vascular anatomy in the suboccipital region and lateral cervical puncture

TC Cox, JM Stevens and BE Kendall

The theoretical risk of injuring the vertebral artery or anomalous vessels at lateral cervical puncture is assessed. In just less than 30% of vertebral arteries the vessel overlies the lateral aspect of the spinal canal between the first and second cervical vertebrae, usually the antero-inferior quadrant. Directing the spinal needle to the posterior third of the canal virtually eliminates the possibility of injuring this and most anomalous arteries traversing the region. The likelihood of inducing subarachnoid haemorrhage by injuring these vessels would appear to be considerably less in lateral cervical than in cisternal puncture.


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