CT-guided epidural blood patch for treatment of CSF leak and pseudomeningocele following tethered cord release in a 3-year-old

Clin Imaging. 2016 Nov-Dec;40(6):1191-1194. doi: 10.1016/j.clinimag.2016.08.010. Epub 2016 Aug 16.

Abstract

An epidural blood patch (EBP) has become standard of care for management of postdural puncture headache, and in recent years, attempts have been made to expand its applicability. Its utility in the management of postsurgical pseudomeningocele remains poorly defined, and few reports describe its use in children. In this case, we report the successful management of lumbar pseudomeningocele via EBP in a 3-year-old after tethered cord release, thereby obviating the need for surgical repair and its potential morbidity.

Keywords: CSF leak; Epidural blood patch; Neuroradiology; Pediatrics; Pseudomeningocele.

Publication types

  • Case Reports

MeSH terms

  • Blood Patch, Epidural / methods*
  • Cerebrospinal Fluid Leak / diagnostic imaging
  • Cerebrospinal Fluid Leak / therapy*
  • Child, Preschool
  • Female
  • Humans
  • Meningocele / diagnostic imaging
  • Meningocele / etiology
  • Meningocele / therapy*
  • Neural Tube Defects / surgery*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy*
  • Tomography, X-Ray Computed