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Updated: Feb 10, 2026
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Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
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Penetrating trauma causing cerebrospinal fluid leak without nerve root damage.
Holly Carpenter1, Katherine-Helen Hurndall1, Ajay K Asokan1
1Department of Surgery, Maidstone and Tunbridge Wells NHS Trust, Kent, UK.
BMJ Case Reports
|May 17, 2018
Summary
A stab wound caused intraspinal air and a cerebrospinal fluid leak in a young man. Neurosurgical intervention successfully repaired the leak, preventing further complications.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Spinal Cord Injury
Background:
- A 19-year-old male sustained a lower back stab injury.
- Initial presentation revealed no neurological deficits or hemodynamic instability.
Observation:
- The patient reported positional headaches, prompting imaging.
- Imaging revealed intraspinal air, indicating a potential dural breach.
Findings:
- Conservative management was initially attempted post-discharge.
- A delayed cerebrospinal fluid leak from the wound necessitated surgical intervention.
- Neurosurgical repair achieved watertight fascial closure.
Implications:
- This case highlights the importance of recognizing delayed complications after spinal trauma.
- Prompt neurosurgical intervention is crucial for managing cerebrospinal fluid leaks.
- Successful surgical repair can lead to favorable outcomes in spinal trauma patients.
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