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Case Reports
Lumbar Epidural Blood Patch via a Caudal Catheter After Surgical Dural Tear and Failed Repair: A Case Report.
- Michael Dorbad, John Han, Shaik Ahmed, Brian Monroe, and Michael Entrup.
- From the Department of Anesthesiology, Geisinger Medical Center, Danville, Pennsylvania.
- A A Case Rep. 2017 May 1; 8 (9): 229-231.
AbstractWe report a patient who developed a positional headache and pseudomeningocele after multiple lumbar surgeries for low back and radicular pain. An epidural blood patch via a lumbar approach was not feasible as a result of distorted lumbar anatomy after multiple back surgeries. An epidural blood patch was performed via catheter-threaded cephalad from a caudal approach. The patient had immediate relief after the procedure and at 1 year was still symptom-free. This combination technique may be considered as an alternative approach when a percutaneous lumbar epidural blood patch is disadvantageous.
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