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CASE REPORT article

Front. Surg.

Sec. Neurosurgery

Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1595249

The lost art of cisterna magna puncture -teaching video

Provisionally accepted
Viktor WeissViktor Weiss1Michal HaršányMichal Haršány1Jaroslav BrichtaJaroslav Brichta1Martin KojanMartin Kojan1Roman HerzigRoman Herzig2Vladimir CervenakVladimir Cervenak1Pavel FilipPavel Filip3*Petr AulickyPetr Aulicky4
  • 1Department of Neurology, Faculty of Medicine, Masaryk University and University Hospital Brno, Brno, Czech Republic, Brno, Olomouc, Czechia
  • 2Department of Neurology, Faculty of Medicine in Hradec Králové, Charles University, Prague, Hradec Králové, Czechia
  • 3Department of Neurology, First Faculty of Medicine, Charles University, Prague, Czechia
  • 4Hospital of the Brothers of Charity Brno, Czech Republic, Brno, Czechia

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The early 20 th century saw the emergence and fall of cisterna magna puncture as a therapeutic and diagnostic tool, purportedly offering distinct advantages over lumbar puncture. However, the renewed interest in this procedure as a potential access point in intrathecal gene therapy indicates that it may not be completely forgotten. In light of the limited reports and the virtual loss of practical expertise with this procedure among specialised clinicians, this instructional video is offered as a valuable resource for clinicians or researchers not only in diagnostic settings, but also as an access to the central distribution point of cerebrospinal fluid with therapeutical intents in the future, as envisaged by medical pioneers a century ago.

Keywords: Cisternal puncture, CSF, Intracranial Hypertension, case report, Teaching video

Received: 17 Mar 2025; Accepted: 21 Aug 2025.

Copyright: © 2025 Weiss, Haršány, Brichta, Kojan, Herzig, Cervenak, Filip and Aulicky. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Pavel Filip, Department of Neurology, First Faculty of Medicine, Charles University, Prague, Czechia

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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