,PROCEDURE NOTE: , After discussion of the risks, benefits, and indications, and obtaining informed consent with the family and their agreement to proceed, this patient was placed in the left lateral position and using aseptic Betadine preparation, sterile draping, and sterile technique pursued throughout, this patient's L4- L5 interspace was anesthetized with the 1% lidocaine solution following the above sterile preparation, entered with a 22-gauge styletted spinal needle of approximately 0.5 mL clear CSF, they were very slow to obtain. 
,PROCEDURE NOTE : , After discussion of the risks , benefits , and indications , and obtaining informed consent with the family and their agreement to proceed , this patient was placed in the left lateral position and using aseptic Betadine preparation , sterile draping , and sterile technique pursued throughout , this patient 's L4- L5 interspace was anesthetized with the 1 % lidocaine solution following the above sterile preparation , entered with a 22 - gauge styletted spinal needle of approximately 0.5 mL clear CSF , they were very slow to obtain .