• Spine · Oct 1994

    Case Reports

    Post-laminectomy cerebrospinal fluid fistula treated with epidural blood patch.

    • N F Maycock, J van Essen, and J Pfitzner.
    • Department of Anaesthesia, Queen Elizabeth Hospital, Adelaide, South Australia.
    • Spine. 1994 Oct 1;19(19):2223-5.

    UnlabelledOBJECTIVES AND SUMMARY OF BACKGROUND DATA: Cerebrospinal fluid fistula after spinal surgery is associated with a definite risk of meningitis or discitis, and as a result, early active intervention usually is recommended.Methods And ResultsThis report describes the successful use of an epidural blood patch after a more conventional intervention--namely, surgical re-exploration--had failed to control a postoperative cerebrospinal fluid leak.ConclusionsThe techniques involved in performing a blood patch after spinal surgery may well differ from those usually recommended in the management of spinal headache resulting from other causes of dural puncture.

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