Epidural blood patch for the treatment of liquor hypotension after intrathecal chemotherapy in a 10-year-old: case report
| Autor: | Fátima Abreu, Mónica Isabel Sequeira de Oliveira, Maria João Vaz, Rui Silva |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Epidural blood patch
Acute leukemia Chemotherapy Cerebrospinal fluid leak Blood patch epidural business.industry Fistula medicine.medical_treatment General Medicine medicine.disease 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid 030202 anesthesiology Anesthesiology Anesthesia medicine Decompressive craniectomy RD78.3-87.3 business Intracranial Hypotension Intracranial hypotension |
| Zdroj: | Brazilian Journal of Anesthesiology, Vol 71, Iss 4, Pp 458-460 (2021) |
| ISSN: | 0104-0014 |
| Popis: | Background and objectives An epidural blood patch is used to treat postdural puncture and liquor hypotension headache. We report the use of an epidural blood patch in a critical pediatric patient. Case report A 10-year-old girl with acute leukemia developed venous cerebral thrombosis with hemorrhagic transformation one month after intrathecal chemotherapy. Given the unusual clinical and imagiological evolution even after decompressive craniectomy, we suspected cerebrospinal fluid hypotension. Spine imaging revealed signs of post-lumbar puncture fistula; we hence performed a blind blood patch. Conclusions Recognizing cerebrospinal fluid hypotension in critical pediatric patients is important. Less-conventional life-saving measures, such as a blind blood patch, may be considered in such patients. |
| Databáze: | OpenAIRE |
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