Pediatric post-dural puncture headache and paraplegia.

Autor: Schievink WI; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA., Maya MM; Department of Imaging, Cedars-Sinai Medical Center, Los Angeles, California, USA., Taché RB; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA., Walker CT; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Jazyk: angličtina
Zdroj: Headache [Headache] 2024 Jul-Aug; Vol. 64 (7), pp. 865-868. Date of Electronic Publication: 2024 Jun 11.
DOI: 10.1111/head.14749
Abstrakt: A cerebrospinal fluid (CSF) leak developed in a 14-year-old girl and a 12-year-old boy following a diagnostic lumbar puncture. Two days and sixteen years later, respectively, paraplegia developed due to a functional disorder. Imaging revealed an extensive extradural CSF collection in both patients and digital subtraction myelography was required to pinpoint the exact site of a ventral dural puncture hole where the lumbar spinal needle had gone "through and through" the dural sac. The CSF leak was complicated by cortical vein thrombosis in one patient. Both patients underwent uneventful surgical repair of the ventral dural puncture hole with prompt resolution of the paraplegia. Iatrogenic ventral CSF leaks may become exceptionally long standing and may be complicated by paraplegia on a functional basis both in the acute and chronic phases.
(© 2024 American Headache Society.)
Databáze: MEDLINE
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