Delayed absence seizure: a complication of intrathecal fluorescein injection. A case report and literature review.
Intrathecal fluorescein injection has a long history of use by surgeons to determine the exact site of a cerebrospinal fluid (CSF) leak from the skull base. This method, however accurate, is not without complications. We present a case of grand mal and absence seizure after intrathecal fluorescein injection and discuss the possible aetiological factors. We also review the articles in the diagnostic methods for the CSF rhinorrhoea and the complications of the intrathecal fluorescein injection.
Anari
Shahram
S
Department of Otorhinolaryngology, The Freeman University Hospital, Newcastle Upon Tyne, UK. sssanari@yahoo.co.uk
Waldron
Murray
M
Carrie
Sean
S
D000768:Anesthesia, General; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis* / Q000601:surgery; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects*; D003399:Craniotomy; D004724:Endoscopy; D004832:Epilepsy, Absence / Q000139:chemically induced* / Q000175:diagnosis; D004830:Epilepsy, Tonic-Clonic / Q000139:chemically induced* / Q000175:diagnosis; D005004:Ethmoid Bone / Q000473:pathology / Q000601:surgery; D005260:Female; D019793:Fluorescein / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007278:Injections, Spinal; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008581:Meningitis / Q000139:chemically induced / Q000175:diagnosis; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D019291:Skull Base / Q000601:surgery
D003287:Contrast Media; D019793:Fluorescein