[Grand mal seizure following intrathecal fluorescein use].
In a 43-year-old woman, 1 ml of 5% fluorescein diluted with 10 ml of cerebrospinal fluid (CSF) was injected into the subarachnoid space at the L4-L5 level to evaluate nasal CSF leakage. After the injection, amnesia and grand mal seizure developed following a low-back pain spreading through the right leg. The patient was treated with antiedematous and anticonvulsant drugs. CSF drainage and vigorous hydration were performed. The patient recovered without sequelae. It was concluded that intrathecal fluorescein should be used with caution.
Alkan
Zeynep
Z
Department of Otolaryngology, Sişli Etfal Training Hospital, Istanbul, Turkey. zalkan@hotmail.com
Cakir
Burak Omür
BO
Kilinç
Bekir Mahmut
BM
Turgut
Suat
S
D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis*; D003287:Contrast Media / Q000008:administration & dosage* / Q000009:adverse effects; D003937:Diagnosis, Differential; D005260:Female; D019793:Fluorescein / Q000008:administration & dosage* / Q000009:adverse effects; D006801:Humans; D007278:Injections, Spinal / Q000009:adverse effects; D008159:Lumbar Vertebrae; D012640:Seizures / Q000139:chemically induced*; D013346:Subarachnoid Space
D003287:Contrast Media; D019793:Fluorescein