Dura Fistula: A Rare Complication of Simultaneous Placement of Neurostimulation Leads and an Intrathecal Catheter

Author(s):  
Denis Dupoiron ◽  
Timothy Deer
2008 ◽  
Vol 3;11 (5;3) ◽  
pp. 355-362
Author(s):  
Mohan S. Vodapally

Catheter related complications are not uncommon with permanently implanted intrathecal drug delivery systems. Pericatheter leak of cerebrospinal fluid usually responds to conservative treatment. We report a case of tension pseudomeningocele due to retained lumbar intrathecal catheter. It is essential to be aware of this rare complication and we recommend appropriate neurosurgical involvement in the management of pseudomeningocele to avoid potential and catastrophic complications. This case presents one of the rare complications associated with the implantation of IDDS. If a patient with IDDS develops a complete fracture of the catheter at the spinal end, all attempts should be made to define the 2 ends of the catheter and establish the continuity with a titanium connector. If the spinal end of the catheter is retracted deep into the interspinous ligaments and not recoverable, avoid entering the intrethecal space at the same level. If a patient develops pseudomeningocele in the postoperative period of IDDS and conservative methods including autologous epidural blood patch fail, we recommend an MRI of the spine for a detailed study along with prompt neurosurgical consultation. Key words: Intrathecal catherer, retained, broken intrathecal catheter, pericatheter leak, lumbar swelling, psedomeningocele, duroplasty, ventriculoperitoneal shunt


2006 ◽  
Vol 12 ◽  
pp. 11-12
Author(s):  
Lalitha Darbha ◽  
Howard Sweeney
Keyword(s):  

2018 ◽  
Vol 24 ◽  
pp. 51
Author(s):  
Sanober Parveen ◽  
Hadoun Jabri ◽  
Michael Jakoby

VASA ◽  
2006 ◽  
Vol 35 (1) ◽  
pp. 41-44 ◽  
Author(s):  
Klein-Weigel ◽  
Pillokat ◽  
Klemens ◽  
Köning ◽  
Wolbergs ◽  
...  

We report two cases of femoral vein thrombosis after arterial PTA and subsequent pressure stasis. We discuss the legal consequences of these complications for information policies. Because venous thrombembolism following an arterial PTA might cause serious sequel or life threatening complications, there is a clear obligation for explicit information of the patients about this rare complication.


VASA ◽  
2005 ◽  
Vol 34 (3) ◽  
pp. 207-210 ◽  
Author(s):  
Sendi ◽  
Toia ◽  
Nussbaumer

Acquired renal arteriovenous fistula is a rare complication following a nephrectomy and its diagnosis may be made many years after the intervention. The closure of the fistula is advisable in most cases, since it represents a risk for heart failure and rupture of the vessel. There are an increasing number of publications describing different techniques of occlusion. The case of a 70-year-old woman with abdominal discomfort due to a large renal arteriovenous fistula, 45 years after nephrectomy, is presented and current literature is reviewed. Percutaneous embolization was performed by placing an occluding balloon through the draining vein followed by the release of nine coils through arterial access. One day after successful occlusion of the fistula, clinical symptoms disappeared.


VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 491-494 ◽  
Author(s):  
Vávrová ◽  
Slezácek ◽  
Vávra ◽  
Karlová ◽  
Procházka

Internal carotid artery pseudoaneurysm is a rare complication of deep neck infections. The authors report the case of a 17-year-old male who presented to the Department of Otorhinolaryngology with an acute tonsillitis requiring tonsillectomy. Four weeks after the surgery the patient was readmitted because of progressive swallowing, trismus, and worsening headache. Computed tomography revealed a pseudoaneurysm of the left internal carotid artery in the extracranial segment. A bare Wallstent was implanted primarily and a complete occlusion of the pseudoaneurysm was achieved. The endovascular approach is a quick and safe method for the treatment of a pseudoaneurysm of the internal carotid artery.


Author(s):  
Julia Marian ◽  
Firdous Rizvi ◽  
Lily Q. Lew

AbstractNonketotic hyperglycemic chorea-ballism (NKHCB), also known as diabetic striato-pathy (DS) by some, is a rare complication of diabetes mellitus and uncommon in children. We report a case of a 10 11/12-year-old boy of Asian descent with uncontrolled type 1 diabetes mellitus (T1DM), Hashimoto's thyroiditis, and multiple food allergies presenting with bilateral chorea-ballism. His brain magnetic resonance imaging revealed developmental venous anomaly in right parietal lobe and right cerebellum, no focal lesions or abnormal enhancements. Choreiform movements resolved with correction of hyperglycemia. Children and adolescents with a movement disorder should be evaluated for diabetes mellitus, especially with increasing prevalence and insidious nature of T2DM associated with obesity.


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