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Am J Hosp Palliat Care · Jun 2008
Case ReportsManagement of pericatheter cerebrospinal fluid leak after intrathecal implantation of a drug delivery system.
- Prem K Singh, Roopesh Jain, Seema Mishra, Sunil Kumar, Sushma Bhatnagar, and Suryanand Deo.
- Department of Anesthesia, All India Institute of Medical Sciences, New Delhi, India.
- Am J Hosp Palliat Care. 2008 Jun 1;25(3):237-9.
AbstractPersistent cerebrospinal fluid leak is a known complication of intrathecal pump system insertion for drug delivery. Various treatment modalities, such as an epidural blood patch, use of glue, removal of catheter, and surgical closure of dura and subdural blood patch, have been reported previously. This report presents a 35-year-old woman in whom an intrathecal pump system was inserted for cancer pain management with intrathecal morphine. This was complicated by a persistent cerebrospinal fluid leak that was successfully managed by purse-string sutures over the dura around the catheter, without removing the intrathecal implant. The cause of the cerebrospinal fluid leak and different treatment approaches are discussed.
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