Open AccessLumbar Epidural Blood Patch to Treat a Large, Symptomatic Postsurgical Cerebrospinal Fluid Leak of 5 Weeks Duration in a 3-Year-Old
Author(s) -
John C. Sanders,
Ronald Gandhoke,
Michele Moro
Publication year - 2004
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/01.ane.0000100661.31566.43
Subject(s) - medicine , epidural blood patch , cerebrospinal fluid , leak , anesthesia , surgery , cerebrospinal fluid leak , lumbar , chemotherapy , lumbar puncture , complication , environmental engineering , engineering
A 3-yr-old with B-cell lymphoma presented with a 5-wk history of 400 mL/day cerebrospinal fluid (CSF) leak, which precluded chemotherapy, after placement of an Omaya reservoir and drain. Surgical repair was unsuccessful. Symptoms included irritability, failure to eat and noncommunication. After lumbar epidural blood patch with 7 mL the symptoms resolved immediately, allowing recommencement of chemotherapy. Epidural blood patch should be considered as possible early treatment for CSF leaks.