Epidural blood patch to treat a postsurgical cerebrospinal fluid leak using central line kit

2021 ◽  
Author(s):  
Carl Lo ◽  
Sang Le ◽  
Eugene Kim

Epidural blood patches are considered definitive treatment for postdural puncture headache in adult patients. However, they are infrequently used in children or in patients with altered spine anatomy. In patients who have undergone recent spine surgery, the lumbar epidural space can be approached safely via the caudal canal. Our case demonstrates a novel technique to perform an epidural blood patch from a caudal approach using a commonly available central line kit for a 15-year-old patient with severe spinal headache due to cerebrospinal fluid leak following a hemilaminectomy.

2012 ◽  
Vol 24 (3) ◽  
pp. 222-225 ◽  
Author(s):  
Steven R. Clendenen ◽  
Stephen Pirris ◽  
Christopher B. Robards ◽  
Bruce Leone ◽  
Eric W. Nottmeier

2015 ◽  
Vol 22 (9) ◽  
pp. 1493-1495 ◽  
Author(s):  
Alvin Ho-Kwan Cheung ◽  
Lai-Fung Li ◽  
Vincent Ching So ◽  
May Ka-Mei Leung ◽  
Wai-Man Lui

Pain Medicine ◽  
2003 ◽  
Vol 4 (4) ◽  
pp. 373-378 ◽  
Author(s):  
Salim M. Hayek ◽  
Maher Fattouh ◽  
Teresa Dews ◽  
Leonardo Kapural ◽  
Osama Malak ◽  
...  

2012 ◽  
Vol 16 (3) ◽  
pp. 444-449 ◽  
Author(s):  
Jens Fichtner ◽  
Christian Fung ◽  
Werner Z`Graggen ◽  
Andreas Raabe ◽  
Jürgen Beck

2013 ◽  
Vol 11 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Jared S. Fridley ◽  
Andrew Jea ◽  
Chris D. Glover ◽  
Kim P. Nguyen

Cerebrospinal fluid leakage causing a pseudomeningocele is a well-recognized complication after spine surgery. The repair of pseudomeningocele in a symptomatic patient is usually accomplished with direct open surgical repair of the durotomy, prolonged lumbar drainage, and/or placement of an epidural blood patch. The authors highlight a unique method of pseudomeningocele repair by presenting 2 cases of adolescent girls with symptomatic lumbar pseudomeningoceles. In both cases ultrasound was used to guide the aspiration of CSF from each pseudomeningocele and to apply the epidural blood patch. Both patients had complete and immediate resolution of symptoms. The authors found ultrasound to be a useful tool to assess the extent of the CSF leakage, to determine the degree of aspiration of the extradural CSF, and to confirm the injection of the blood into the epidural space and the space created by the pseudomeningocele.


Sign in / Sign up

Export Citation Format

Share Document