Management of cerebral spinal fluid leak complicating spinal cord stimulator implantation.
Accidental puncture of the dura mater with resultant leakage of cerebral spinal fluid (CSF) and development of postdural puncture headache (PDPH) is a known potential complication of percutaneous placement of spinal cord stimulator (SCS) leads. However, the implications and management strategies for this complication have not been thoroughly reported. We report two cases of SCS lead placement complicated by CSF leak and PDPH.
Eldrige
Jason S
JS
Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Weingarten
Toby N
TN
Rho
Richard H
RH
D000293:Adolescent; D017217:Blood Patch, Epidural / Q000379:methods / Q000592:standards; D017586:Diskectomy / Q000009:adverse effects; D004388:Dura Mater / Q000293:injuries* / Q000503:physiopathology; D004599:Electric Stimulation Therapy / Q000009:adverse effects* / Q000295:instrumentation / Q000592:standards; D004567:Electrodes, Implanted / Q000009:adverse effects / Q000592:standards; D004824:Epidural Space / Q000033:anatomy & histology / Q000601:surgery*; D005260:Female; D006261:Headache / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010148:Intractable Pain / Q000628:therapy*; D012019:Reflex Sympathetic Dystrophy / Q000628:therapy; D013116:Spinal Cord / Q000502:physiology / Q000601:surgery*; D013346:Subarachnoid Space / Q000293:injuries / Q000503:physiopathology; D013353:Subdural Effusion / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control