Epidural cerebrospinal fluid collection after lumbar puncture.
Lumbar puncture is a common procedure in the emergency department. Cerebrospinal fluid (CSF) leak through a dural tear can cause transient side effects including headache and backache, although more severe symptoms may occur. These CSF collections can be managed nonoperatively without any neurologic sequelae. We report a patient with a symptomatic epidural CSF collection after diagnostic lumbar puncture, followed by a brief review of the literature including discussion of techniques that can reduce CSF leak.
Aronson
Paul L
PL
Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. aronsonp@email.chop.edu
Zonfrillo
Mark R
MR
D001416:Back Pain / Q000175:diagnosis / Q000209:etiology*; D002555:Cerebrospinal Fluid; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004824:Epidural Space; D006261:Headache / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D013129:Spinal Puncture / Q000009:adverse effects*