Wednesday, June 9, 2021

Epidural blood patch to treat a postsurgical cerebrospinal fluid leak using central line kit

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Pain Manag. 2021 Jun 9. doi: 10.2217/pmt-2020-0102. Online ahead of print.

ABSTRACT

Epidural blood patches are considered definitive treatment for postdural puncture headache in adult patients. However, they are infrequently used in children or in patients with altered spine anatomy. In patients who have undergone recent spine surgery, the lumbar epidural space can be approached safely via the caudal canal. Our case demonstrates a novel technique to perform an epidural blood patch from a caudal approach using a commonly available central line kit for a 15-year-old patient with severe spinal headache due to cerebrospinal fluid leak following a hemilaminectomy.

PMID:34102859 | DOI:10.2217/pmt-2020-0102

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