Hosu Liana, Meyer Mark J, Goldschneider Kenneth R
Division of Pain Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Reg Anesth Pain Med. 2008 Jan-Feb;33(1):74-6. doi: 10.1016/j.rapm.2007.07.013.
Cerebrospinal fluid cutaneous fistulae are rare complications of neuraxial needle procedures.
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.
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.
