Ultrastructural Findings in Human Spinal Pia Mater in Relation to Subarachnoid Anesthesia
- 1 May 2004
- journal article
- Published by Wolters Kluwer Health in Anesthesia & Analgesia
- Vol. 98 (5) , 1479-1485
- https://doi.org/10.1213/01.ane.0000113240.09354.e9
Abstract
Cellular membrane. The lumbar dural sac from 7 fresh human cadavers was removed, and samples from lumbar spinal pia mater were studied by special staining techniques, immunohistochemistry, and transmission and scanning electron microscopy. A pial layer made by flat overlapping cells and subpial tissue was identified. We found fenestrations in samples from human spinal pia mater at the thoracic-lumbar junction, conus medullaris, and nerve root levels, but these fenestrations did not appear at the thoracic level. We speculate whether the presence of fenestrations in human spinal pia mater at the level of the lumbar spinal cord and at the nerve root levels has any influence on the transfer of local anesthetics across this membrane....Keywords
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