Destruction of the LUMBAR chain of sympathetic nerves (see NERVOUS SYSTEM) by means of surgery, DIATHERMY or injection of chemicals (phenol or alcohol). The technique is used to improve the blood ?ow to the leg in patients with peripheral vascular disease, and to treat some types of chronic leg pain. It has only limited success.
A term used to denote structures in, or diseases affecting, the region of the loins (see LOIN) – as, for example, the lumbar vertebrae, lumbar abscess.... lumbar
A procedure for removing CEREBROSPINAL FLUID (CSF) from the spinal canal in the LUMBAR region in order: (1) to diagnose disease of the nervous system; (2) to introduce medicaments – spinal anaesthetics or drugs. A hollow needle is inserted into the lower section of the space around the SPINAL CORD (see diagram) and the cerebrospinal ?uid withdrawn. The procedure should not be done too rapidly or the subject may develop a severe headache. Examination of the cerebrospinal ?uid helps in the diagnosis and investigation of disorders of the brain and spinal cord – for example, MENINGITIS and SUBARACHNOID HAEMORRHAGE. When using the procedure to inject drugs into the CSF, the operator must take care to inject only those agents speci?cally produced for CSF injection. Deaths have occurred because the wrong drug has been injected, and there have been demands for specialised equipment and strict procedures that will prevent such tragedies.... lumbar puncture
An operation in which the ganglia (nerve terminals) of sympathetic nerves are destroyed to interrupt the nerve pathway. This may be performed to improve blood supply to a limb (as a treatment for peripheral vascular disease) or to relieve chronic pain, for example causalgia.... sympathectomy
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