Nusinersen by subcutaneous intrathecal catheter for symptomatic spinal muscular atrophy patients with complex spine anatomy

VJ Carson, M Young, KW Brigatti, DL Robinson… - Muscle & …, 2022 - Wiley Online Library
Abstract Introduction/Aims Intrathecal administration of nusinersen is challenging in patients
with spinal muscular atrophy (SMA) who have spine deformities or fusions. We prospectively …

Transforaminal lumbar puncture for intrathecal access: case series with literature review and comparison to other techniques

V Velayudhan, S Patel, A Danziger, A Grigorian… - Journal of Clinical …, 2020 - Elsevier
Fluoroscopic-guided lumbar puncture (LP) is a procedure commonly performed by
radiologists, which in some circumstances may be difficult or impossible using a traditional …

Nusinersen for patients with spinal muscular atrophy: 1415 doses via an interdisciplinary institutional approach

E Madan, S Carrié, C Donado, K Lobo, M Souris… - Pediatric Neurology, 2022 - Elsevier
Background Spinal deformity and prior spinal fusion pose technical challenges to lumbar
puncture (LP) for nusinersen administration for patients with spinal muscular atrophy (SMA) …

Transforaminal intrathecal delivery of nusinersen for older children and adults with spinal muscular atrophy and complex spinal anatomy: an analysis of 200 …

JJ Weaver, DK Hallam, JFB Chick, S Vaidya… - Journal of …, 2021 - jnis.bmj.com
Background Nusinersen is the only approved treatment for all spinal muscular atrophy
(SMA) subtypes and is delivered intrathecally. Distorted spinal anatomy and instrumentation …

Magnetic resonance imaging anatomy and morphometry of lumbar intervertebral foramina to guide safe transforaminal subarachnoid punctures

AM Khalaf, V Yedavalli, TF Massoud - Clinical Anatomy, 2020 - Wiley Online Library
Percutaneous transforaminal lumbar punctures (TFLPs) offer alternative access routes to the
lumbar subarachnoid cistern. Safe fluoroscopic insertion of a needle through a lumbar …

Intrathecal delivery of nusinersen in individuals with complicated spines

MS Cartwright, ZT Ward, EP White, TG West - Muscle & Nerve, 2020 - Wiley Online Library
Background The treatment of spinal muscular atrophy (SMA) with nusinersen requires
intrathecal medication administration, which can be challenging in individuals with …

Computed‐tomography‐guided transforaminal intrathecal nusinersen injection in adults with spinal muscular atrophy type 2 and severe spinal deformity. Feasibility …

S Spiliopoulos, L Reppas, C Zompola… - European Journal of …, 2020 - Wiley Online Library
Background and purpose The purpose was to investigate our centre's experience on
computed‐tomography‐guided (CT‐guided), transforaminal, intrathecal administration of …

Imaging anatomy of the vertebral canal for trans‐sacral hiatus puncture of the lumbar cistern

A Trinh, SS Hashmi, TF Massoud - Clinical Anatomy, 2021 - Wiley Online Library
A standard lumbar puncture may be impossible for many anatomic or technical reasons.
Previous accounts of caudal epidural anesthesia and other procedures via the sacral hiatus …

A systematic review of procedural complications from transforaminal lumbar puncture for intrathecal nusinersen administration in patients with spinal muscular atrophy

A Grayev, M Schoepp, A Kuner - American Journal of …, 2021 - Am Soc Neuroradiology
BACKGROUND: Spinal muscular atrophy is a progressive neurodegenerative disorder that
can be treated with intrathecal antisense oligonucleotide therapy (nusinersen). However …

Intrathecal catheter and port placement for nusinersen infusion in children with spinal muscular atrophy and spinal fusion

KK Shashi, SSD Stone, CB Berde, HM Padua - Pediatric Radiology, 2021 - Springer
Background Spinal administration of medications is challenging in patients with complete
posterior spinal fusion. We describe percutaneous image-guided intrathecal port placement …