Lumbar epidural blood patch to treat a large, symptomatic postsurgical cerebrospinal fluid leak of 5 weeks duration in a 3-year-old.

Abstract:

UNLABELLED:A 3-yr-old with B-cell lymphoma presented with a 5-wk history of 400 mL/day cerebrospinal fluid (CSF) leak, which precluded chemotherapy, after placement of an Omaya reservoir and drain. Surgical repair was unsuccessful. Symptoms included irritability, failure to eat and noncommunication. After lumbar epidural blood patch with 7 mL the symptoms resolved immediately, allowing recommencement of chemotherapy. Epidural blood patch should be considered as possible early treatment for CSF leaks. IMPLICATIONS:An epidural blood patch successfully treated a large cerebrospinal fluid leak of long duration in a 3-yr-old. Considering the distress of such a leak to the patient, staff, and parents, epidural blood patch may be considered as an early treatment option.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Sanders JC,Gandhoke R,Moro M

doi

10.1213/01.ane.0000100661.31566.43

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

629-31, table of contents

issue

3

eissn

0003-2999

issn

1526-7598

journal_volume

98

pub_type

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