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Epidural blood patch for treatment of subarachnoid fistula in children
V Kumar1, T Maves, W Barcellos
1Department of Anesthesia, University of Iowa College of Medicine, Iowa City 52242.
Anaesthesia
|February 1, 1991
Insights
A rare complication, subarachnoid-cutaneous fistula, occurred in two children following cerebrospinal fluid drainage. Epidural blood patch effectively managed this iatrogenic issue.
Area of Science:
- Neurosurgery
- Pediatric Medicine
- Neurology
Background:
- Subarachnoid catheters are used for cerebrospinal fluid (CSF) drainage in pediatric patients.
- Iatrogenic complications can arise from invasive procedures.
Observation:
- Two pediatric cases presented with a subarachnoid-cutaneous fistula.
- This fistula formed after subarachnoid catheter placement for CSF drainage.
Findings:
- The development of a subarachnoid-cutaneous fistula is a rare but serious complication.
- Successful management was achieved using an epidural blood patch.
Implications:
- Highlights the importance of recognizing and managing iatrogenic fistulas.
- Epidural blood patch is a viable treatment option for this specific complication.
Abstract:
A subarachnoid-cutaneous fistula developed in two children after the placement of a catheter in the subarachnoid space for drainage of cerebrospinal fluid. The management of this iatrogenic complication with epidural blood patch is described.