Suboccipital Puncture and Myelography
CSF collection and contrast imaging through the back of the skull
What is This Treatment?
This procedure involves obtaining a CSF sample via cisternal puncture from the suboccipital (C1-C2) region and/or performing myelography with contrast injection. It is preferred when the lumbar route is unsuitable or for posterior fossa pathologies.
Benefits
- Provides alternative CSF access when the lumbar route is unavailable
- Directly images posterior fossa and foramen magnum pathologies
- Enables CSF pressure measurement at the cisternal level
- High diagnostic value for craniocervical junction lesions
Treatment Process
The patient is positioned sitting or lateral, with neck flexion. Under sterile conditions, a needle is directed through the posterior C1-C2 interval into the cisterna magna. CSF is collected or contrast is injected for imaging.
When is it used?
- CSF sampling when the lumbar route is contraindicated
- Evaluation of foramen magnum and posterior fossa lesions
- Diagnosis of craniocervical junction pathologies
- Situations requiring downward myelography
Recovery and planning
Close neurological monitoring for several hours is required after the procedure. Respiration and consciousness level are observed.
Expert Consultation
Schedule an appointment to determine the most suitable treatment method for you.
You may also want to review
Browse related treatment topics.
Microsurgery
Precise surgical technique performed under microscope
Open treatmentEndoscopic Spine Surgery
Minimally invasive spine surgery with camera
Open treatmentEpiduroscopy
Endoscopic examination and treatment of spinal canal
Open treatmentCaudal Block
Epidural injection from the tailbone region
Open treatmentSearch across all services
Search treatments, diseases, departments, and academic content.
569 results found
Brain Surgery
Surgical treatment of benign and malignant brain tumors, cerebrovascular diseases and hydrocephalus.
Spine Surgery
Treatment of lumbar and cervical disc herniation, spinal stenosis, spondylolisthesis, spinal cord tumors and scoliosis.
Pediatric Neurosurgery
Surgical treatment of brain and nervous system diseases in children with specialized approaches.
Functional Neurosurgery
Parkinson's, epilepsy, tremor and deep brain stimulation (DBS) treatments.
Pain Management
Chronic pain treatment, nerve blocks, RF thermocoagulation and epiduroscopy.
Peripheral Nerve Surgery
Treatment of carpal tunnel syndrome, cubital tunnel and peripheral nerve injuries.
Meningioma (Brain Membrane Tumor)
The most common brain tumor originating from the brain membranes, usually benign
Glioblastoma (GBM)
Most common rapidly growing malignant brain tumor in adults
Astrocytoma
Tumor developing from brain glial cells
Oligodendroglioma
Slow-growing tumor developing from brain white matter
Ependymoma
Tumor developing from brain ventricle wall
Medulloblastoma
Most common malignant brain tumor in children
Brain Metastases
Most common brain tumor in adults - spread of cancer from elsewhere in the body to the brain
Primary CNS Lymphoma
Aggressive lymphoma type originating from the central nervous system
Hemangioblastoma
A benign, highly vascular brain and spinal cord tumor
Pilocytic Astrocytoma
The most common benign brain tumor in children
Diffuse Midline Glioma (DMG)
A rapidly progressive brain tumor that develops in midline structures of the brain in children, particularly in the brainstem.
ATRT (Atypical Teratoid Rhabdoid Tumor)
A rare and rapidly progressive brain tumor seen in infants and young children.
Esthesioneuroblastoma (Olfactory Nerve Tumor)
A rare tumor arising from olfactory nerve cells in the upper nasal cavity.
Pineal Region Tumors
Rare tumors that develop in and around the pineal gland located deep in the brain, and can be of different types.
Learn About Your Treatment Options
Let's determine the most suitable treatment method for your condition together.