Intrathecal Space Access

Intrathecal space access is the controlled entry into the cerebrospinal fluid-filled subarachnoid space surrounding the spinal cord and brain, enabling direct sampling or delivery within the central nervous system. It typically uses a sterile needle or catheter advanced through the skin and spinal tissues until it reaches the intrathecal compartment, where cerebrospinal fluid can be collected or substances can be administered under carefully controlled conditions. In biology and biomedical research, this approach supports cerebrospinal fluid analysis, intrathecal anesthesia, drug delivery, and studies of neurological disease. Its direct access can improve exposure of the nervous system to experimental agents while requiring precise technique to limit tissue injury and infection.

Intrathecal Space Access - Related Videos

Research

JoVE Journal - Neuroscience
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Accessing the Subdural Space of the Rodent Spinal Cord for Treatment Delivery

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2025

This surgical protocol is a step-by-step guide to insert an intrathecal catheter into the spinal subdural space of a rodent to deliver targeted treatment.

Research

JoVE EoE - Neurotherapeutics

Intrathecal Delivery of a Test Compound to the Rat Central Nervous System

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2025

Source: Chen, Y., et al. Intrathecal Delivery of Antisense Oligonucleotides in the Rat Central Nervous System. J. Vis. Exp. (2019)This video demonstrates the delivery of a test compound into the cerebrospinal fluid (CSF) through a catheter implanted in the lumbar spinal column of a rat model. The compound circulates along the CSF to the brain and spinal cord, enters neurons, and offers therapeutic potential.

Intrathecal Delivery of Viruses in a Mouse Model for Treating Central Nervous System Diseases

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2025

Source: Li, D., et al. Direct Intrathecal Injection of Recombinant Adeno-associated Viruses in Adult Mice. J. Vis. Exp. (2019)This video demonstrates the procedure for the intrathecal injection of adeno-associated viruses (AAV) into the cerebrospinal fluid (CSF) of an awake mouse, covering syringe preparation, spinal alignment, and precise needle insertion. This method validates targeted gene delivery, supporting its potential for CNS therapies.

An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach

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Cited by 19 •

2016

Subretinal injections are the most common technique for delivering large therapeutic agents such as proteins and viral vectors to photoreceptors and the retinal pigment epithelium. An alternative method in mice that successfully targets the subretinal space with minimal collateral damage and fast recovery times is described here.

Research

JoVE Journal - Neuroscience
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Lumbar Intrathecal Injection of SOD1-ASOs for Precise CNS Targeting and Predictive Efficacy in Human SOD1-G93A ALS Mice

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2026

This article details intrathecal delivery methods for CNS-targeted therapeutics in adult mice, focusing on protocol precision and enabling repeated injection. It includes findings from a validation study where antisense oligonucleotides reduced mutant SOD1 expression in SOD1-ALS model mice, supporting the utility of the approach in preclinical research on neurodegenerative diseases.

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