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Cerebrospinal fluid cutaneous fistula after epidural analgesia in a child.

作者信息

Hosu Liana, Meyer Mark J, Goldschneider Kenneth R

机构信息

Division of Pain Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

出版信息

Reg Anesth Pain Med. 2008 Jan-Feb;33(1):74-6. doi: 10.1016/j.rapm.2007.07.013.

Abstract

BACKGROUND AND OBJECTIVES

Cerebrospinal fluid cutaneous fistulae are rare complications of neuraxial needle procedures.

CASE REPORT

We present the first reported case of a persistent cerebrospinal fluid cutaneous fistula in a child who underwent epidural analgesia. Careful assessment and circumspect treatment of this cerebrospinal fluid cutaneous fistula led to an excellent outcome in this child.

CONCLUSIONS

Assessment can be challenging in young children, and guidelines for management are absent. Technical issues in treatment are discussed in addition to pitfalls in diagnosis in young children.

摘要

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