Lumbar Epidural Blood Patch via a Caudal Catheter After Surgical Dural Tear and Failed Repair: A Case Report.

Authors

Michael Dorbad
John Han
Shaik Ahmed
Brian Monroe
Michael Entrup

Publication/Presentation Date

5-1-2017

Abstract

We report a patient who developed a positional headache and pseudomeningocele after multiple lumbar surgeries for low back and radicular pain. An epidural blood patch via a lumbar approach was not feasible as a result of distorted lumbar anatomy after multiple back surgeries. An epidural blood patch was performed via catheter-threaded cephalad from a caudal approach. The patient had immediate relief after the procedure and at 1 year was still symptom-free. This combination technique may be considered as an alternative approach when a percutaneous lumbar epidural blood patch is disadvantageous.

Volume

8

Issue

9

First Page

229

Last Page

231

ISSN

2325-7237

Published In/Presented At

Dorbad, M., Han, J., Ahmed, S., Monroe, B., & Entrup, M. (2017). Lumbar Epidural Blood Patch via a Caudal Catheter After Surgical Dural Tear and Failed Repair: A Case Report. A & A case reports, 8(9), 229–231. https://doi.org/10.1213/XAA.0000000000000473

Disciplines

Anesthesiology | Medicine and Health Sciences

PubMedID

28181949

Department(s)

Department of Anesthesiology

Document Type

Article