Journal of Spine & NeurosurgeryISSN: 2325-9701

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Case Report, J Spine Neurosurg Vol: 1 Issue: 2

Epidural Blood Patch for the Treatment of Post-laminectomy Cerebrospinal Fluid Fistula – A Case Report

Takao Motosuneya1*, Ikuo Motosuneya1 and Hitoshi Masumo2
1Motosuneya Orthopaedic Hospital, Japan
2Department of Anesthesiology, Fukaya Red Cross Hospital, Japan
Corresponding author : Takao Motosuneya
Motosuneya Orthopaedic Hospital, 871, Shimokagemori, Chichibu, Saitama, 369-1871, Japan
Tel: 81-494-24-7615; Fax: 81-494-23-3348
E-mail: tmotosuneya@yahoo.co.jp
Received: October 15, 2012 Accepted: November 21, 2012 Published: November 24, 2012
Citation: Motosuneya T, Motosuneya I, Masumo H (2012) Epidural Blood Patch for the Treatment of Post-laminectomy Cerebrospinal Fluid Fistula – A Case Report. J Spine Neurosurg 1:2. doi:10.4172/2325-9701.1000102

Abstract

Epidural Blood Patch for the Treatment of Post-laminectomy Cerebrospinal Fluid Fistula – A Case Report

We report a case of an 86 year old female that presented with a refractory cerebrospinal fluid fistula after L2-L5 posterior decompression. An epidural blood patch was performed on post-operative day 21, and the leakage of cerebrospinal fluid ceased soon after the procedure, thus avoiding the need for open closure. One year after surgery, the patient showed improvement in intermittent claudication, and the post-operative wound was completely closed. The epidural blood patch is a good of treatment for cerebrospinal fluid fistula after spinal surgery.

Keywords: Epidural blood patch; Cerebrospinal fluid fistula;Durocutaneous fistula

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