CT-guided epidural blood patch for treatment of CSF leak and pseudomeningocele following tethered cord release in a 3-year-old.
An epidural blood patch (EBP) has become standard of care for management of postdural puncture headache, and in recent years, attempts have been made to expand its applicability. Its utility in the management of postsurgical pseudomeningocele remains poorly defined, and few reports describe its use in children. In this case, we report the successful management of lumbar pseudomeningocele via EBP in a 3-year-old after tethered cord release, thereby obviating the need for surgical repair and its potential morbidity.
Department of Radiology, NewYork-Presbyterian Hospital, Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY 10065, USA. Electronic address: joc9246@nyp.org.
Joshua
J
Cornman-Homonoff
Division of Neuroradiology, NewYork-Presbyterian Hospital, Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY 10065, USA. Electronic address: ans2046@med.cornell.edu.
Andrew
A
Schweitzer
Division of Neuroradiology, NewYork-Presbyterian Hospital, Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY 10065, USA. Electronic address: jlc2008@med.cornell.edu.
J Levi
JL
Chazen
D017217:Blood Patch, Epidural / Q000379:methods*; D065634:Cerebrospinal Fluid Leak / Q000000981:diagnostic imaging / Q000628:therapy*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008588:Meningocele / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D009436:Neural Tube Defects / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed
CSF leak; Epidural blood patch; Neuroradiology; Pediatrics; Pseudomeningocele