title: Dural tear of unusual cause.
abstract: Epidural analgesia is highly recommended in cancer anorectal surgery. In addition to the fight against pain it provides some benefit in allowing early rehabilitation of patients. One of the risks of this practice is the dural tear creating a cerebrospinal fluid leak (CSF) in the epidural space (EPD). Clinical features the typical positional headache, a procession of various more or less severe symptoms: nausea, vomiting, dizziness, visual or hearing impairment or radicular pain. We report a dural of unusual cause secondary of the obstruction of tuohy catheter by vertebral cartilage.
authors.affiliation: Anesthesia Resuscitation Pole- Military Hospital Meknes, Morroco.
authors.forename: Hicham
authors.initials: H
authors.lastname: Kechna
authors.affiliation: Anesthesia Resuscitation Pole- Military Hospital Meknes, Morroco.
authors.forename: Jaouad
authors.initials: J
authors.lastname: Loutid
authors.affiliation: Anesthesia Resuscitation Pole- Military Hospital Meknes, Morroco.
authors.forename: Omar
authors.initials: O
authors.lastname: Ouzzad
authors.affiliation: Anesthesia Resuscitation Pole- Military Hospital Meknes, Morroco.
authors.forename: Sidi Mohamed
authors.initials: SM
authors.lastname: Hanafi
authors.affiliation: Anesthesia Resuscitation Pole- Military Hospital Meknes, Morroco.
authors.forename: Moulay Ahmed
authors.initials: MA
authors.lastname: Hachimi
mesh_terms: D015360:Analgesia, Epidural / Q000009:adverse effects* / Q000379:methods; D001005:Anus Neoplasms / Q000601:surgery; D065634:Cerebrospinal Fluid Leak / Q000209:etiology; D004388:Dura Mater / Q000293:injuries*; D004824:Epidural Space; D006801:Humans; D008875:Middle Aged; D051299:Post-Dural Puncture Headache / Q000209:etiology*; D012004:Rectal Neoplasms / Q000601:surgery
keywords: Headache; epidural anaesthesia; post-dural puncture headache; spinal analgesia