Subdural Blood Patch for the Treatment of Persistent CSF Leak After Permanent Intrathecal Catheter Implantation: A Report of Two Cases

Dominguez, Eric; Latif, Osman A.; Rozen, Dima; Sahinler, Bolkar; Orbegozo, Mauricio; Edmunds, Ann; Lou, Leland; Day, Miles; Racz, Gabor B.; Raj, Prithvi

doi:10.1046/j.1533-2500.2001.01036.x

Cited by 5 publications

(3 citation statements)

References 15 publications

(12 reference statements)

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“…However, the combination of the known risks of EBP and patients who have long-term intrathecal catheters in situ prompts new consideration. There are case reports describing the application of EBP or fibrin glue patch in patients with IDDS implants in the setting of continuous cerebrospinal fluid leak [30–33]. There is a scarcity of published material describing the outcomes, technical details, and complications associated with epidural blood patch in the PDPH population with IDDS in place.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Refractory Postdural Puncture Headache after Intrathecal Drug Delivery System Implantation with Epidural Blood Patch Procedures: A 20-Year Experience

Moeschler

Hanley

et al. 2016

Pain Research and Treatment

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A recent publication reported the incidence of postdural puncture headache (PDPH) in conjunction with intrathecal drug delivery system (IDDS) implantation to be nearly 23 percent. Many patients responded to conservative measures but a percentage needed invasive treatment with an epidural blood patch (EBP). There is limited data to describe the technical details, success rates, and complications associated with EBP in this population. This study aims to provide a retrospective report of EBP for patients suffering from PDPH related to IDDS implantation. A chart review established a cohort of patients that required EBP in relation to a PDPH after IDDS implantation. This cohort was evaluated for demographic data as well as details of the EBP including technical procedural data, success rates, and complications. All patients received a trial of conservative therapy. Standard sterile technique and skin preparation were utilized with no infectious complications. The EBP was placed below the level of the IDDS catheter in 94% of procedures. Fluoroscopy was utilized in each case. The mean EBP volume was 18.6 cc and median time of EBP was day 7 after implant. There were no complications associated with EBP. EBP appears to be an effective intervention in this subset of PDPH patients.

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Section: Introductionmentioning

confidence: 99%

Treatment of Refractory Postdural Puncture Headache after Intrathecal Drug Delivery System Implantation with Epidural Blood Patch Procedures: A 20-Year Experience

Moeschler

Hanley

et al. 2016

Pain Research and Treatment

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“…The success rate of blood patch method reaches 77-96% ( 12 ). In cases when the epidural blood patch has ineffective, fibrin glue and Subdural blood patches have been attempted ( 13 , 14 ).…”

Section: Discussionmentioning

confidence: 99%

Persistent Spinal Headache After Removal of Intrathecal Drug Delivery System: A Case Report and Review of Literature

et al. 2015

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Introduction:To report and discuss the spinal headache following insertion and removal of intrathecal drug delivery system in patients with chronic pain disorders.Case Presentation:Intrathecal drug delivery system (IDDS) was initially used for the management of chronic malignant pain; it has since been used to manage pain from other nonmalignant conditions as well. Spinal headache is one of the complications during the trial, permanent placement and after removal of intrathecal drug delivery catheter systems. A 48-year-male patient with chronic pain disorder developed a refractory spinal headache after removing the intrathecal drug delivery system requiring a surgical intervention to resolve the problem.Conclusions:Conservative management is successful in the vast majority of patients with spinal headache. Interventional procedures are required in a small fraction of patients for symptomatic relief.

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“…2 Diagnosis occurs at a mean gestational age of 7.5 weeks (range 5-12 weeks), 3 and is made primarily by transvaginal ultrasonography (sensitivity of 84.6%). 6 MRI or three dimensional-color Doppler imaging can enhance the diagnostic accuracy by evaluating the flow, resistance and pulsatility indices in the peritrophoblastic vasculature; 7 however, images may still resemble placenta accreta later in pregnancy. 7 Although some cases are managed expectantly until the third-trimester, a majority of reported scar pregnan-…”

Section: Subcutaneous Fluid Collection Following Singleshot Spinal Anmentioning

confidence: 99%

Subcutaneous fluid collection following single-shot spinal anaesthesia for caesarean section

Darvall¹,

Kocent²

2010

International Journal of Obstetric Anesthesia

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Subdural Blood Patch for the Treatment of Persistent CSF Leak After Permanent Intrathecal Catheter Implantation: A Report of Two Cases

Cited by 5 publications

References 15 publications

Treatment of Refractory Postdural Puncture Headache after Intrathecal Drug Delivery System Implantation with Epidural Blood Patch Procedures: A 20-Year Experience

Treatment of Refractory Postdural Puncture Headache after Intrathecal Drug Delivery System Implantation with Epidural Blood Patch Procedures: A 20-Year Experience

Persistent Spinal Headache After Removal of Intrathecal Drug Delivery System: A Case Report and Review of Literature

Subcutaneous fluid collection following single-shot spinal anaesthesia for caesarean section

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