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Updated: Sep 2, 2025

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
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Intermittent Cerebrospinal Leak After Inadvertent Dural Puncture During Epidural Catheter Placement for Postoperative

Birva Khara1, Ralph J Beltran1,2, David P Martin1,2

  • 1Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH 43205, USA.

Journal of Medical Cases
|August 11, 2022
PubMed

Insights

A rare case of persistent cerebrospinal fluid (CSF) leak after a dural puncture in a child receiving epidural anesthesia highlights potential complications. This emphasizes the need for careful monitoring and management of adverse effects in pediatric regional anesthesia.

Area of Science:

  • Pediatric Anesthesiology
  • Regional Anesthesia Techniques
  • Neurosurgical Complications

Background:

  • Increasing use of regional anesthesia in pediatric patients, including neonates and infants.
  • Potential adverse events associated with epidural needle placement, catheter manipulation, and local anesthetic infusion.
  • Inadvertent dural puncture ('wet tap') is a known risk during epidural procedures.

Keywords:
Cerebrospinal fluid leakDural punctureEpidural anesthesiaFistula

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