Caudal epidural blood patch for treating intractable vomiting in a child after placement of a permanent intrathecal catheter.
Postdural puncture cerebral spinal fluid (CSF) leak most often manifests as a postdural puncture headache (PDPH). The reported frequency in young children varies (1-4). Persistent CSF leak may also be present without PDPH. We present a case of postoperative nausea and vomiting resulting from a presumed lumbar CSF leak in a nonverbal child after surgical placement of a permanent intrathecal catheter. Treatment with an epidural blood patch (EBP) via the caudal approach resulted in complete relief of symptoms.
Robins
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Department of Anesthesiology, Doernbecher Children's Hospital, Oregon Health Sciences University, Portland, OR 97201, USA. robinsb@ohsu.edu
Boggs
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DP
D001418:Baclofen / Q000008:administration & dosage; D017217:Blood Patch, Epidural / Q000379:methods; D002408:Catheters, Indwelling; D002675:Child, Preschool; D004824:Epidural Space; D006801:Humans; D007260:Infusion Pumps; D008297:Male; D009125:Muscle Relaxants, Central / Q000008:administration & dosage; D009128:Muscle Spasticity / Q000188:drug therapy; D013129:Spinal Puncture / Q000009:adverse effects*; D014839:Vomiting / Q000209:etiology / Q000628:therapy*
D009125:Muscle Relaxants, Central; D001418:Baclofen