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Post-laminectomy cerebrospinal fluid fistula treated with epidural blood patch
N F Maycock1, J van Essen, J Pfitzner
1Department of Anaesthesia, Queen Elizabeth Hospital, Adelaide, South Australia.
Unlabelled:
OBJECTIVES 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 Results:
This 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.
Conclusions:
The 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.