[Persistent leakage of cerebrospinal fluid after removal of a device implanted for subarachnoid analgesia].
A case is reported of a persisting leakage of cerebrospinal fluid (CSF) occurring after removal of a subarachnoid analgesia kit. The kit had been inserted in a 79-year-old man who had severe perineal cancer pain. Fifteen months later, after a second episode of meningitis, the kit was removed. The leakage was noticed a few hours after removal of the kit. Biological parameters confirmed the fluid was most certainly CSF. Despite making the patient lie prone, water restriction and a compressive dressing, the leakage was still present three days later. A blood patch, and the epidural injection of biological glue, were of no avail. The leakage was only stopped by tying off the fistula with a ligature. The actiology and treatment of skin CSF fistulae after puncture of the dura mater are discussed.
Hidou
M
M
Département d'Anesthésie-Réanimation, Hôpital de Vittel.
Caramella
J P
JP
Claude
E
E
D000368:Aged; D000698:Analgesia / Q000379:methods*; D002555:Cerebrospinal Fluid; D005402:Fistula / Q000209:etiology* / Q000628:therapy; D006801:Humans; D015918:Infusion Pumps, Implantable; D008297:Male; D012871:Skin Diseases / Q000209:etiology* / Q000628:therapy
Fuite persistante de liquide céphalorachidien après retrait d'un site d'analgésie sous-arachnoïdienne.