• J Orthop Traumatol · Mar 2010

    Case Reports

    Cerebrospinal fluid leakage and pneumocephalus secondary to spine stab wounds.

    • Nimrod Rahamimov, Hani Mulla, and Shay Freiman.
    • Western Galilee Hospital, Naharia, Israel. nimrod.rahamimov@naharia.health.gov.il
    • J Orthop Traumatol. 2010 Mar 1; 11 (1): 57-9.

    AbstractCerebro-spinal fluid leakage from a spinal stab wound is rare, and usually not a life-threatening injury. Pneumocephalus, a possible rare complication of traumatic cerebro-spinal fluid leakage, can potentially lead to intracranial hemorrhage and death. We describe two cases of spinal stab wounds complicated by cerebro-spinal fluid leakage, one of them developing into severe pneumocephalus. Both patients recovered completely with the following treatment protocol: (a) trendelenburg positioning of the patient, (b) insertion of a continuous-drainage cerebro-spinal fluid catheter into the lumbar thecal sac, (c) primary suture of the leaking skin wound, (d) IV antibiotic therapy.

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