Catheter-guided multilevel epidural blood patches in an adolescent boy
© American Society of Regional Anesthesia & Pain Medicine 2022. No commercial re-use. See rights and permissions. Published by BMJ..
BACKGROUND: There is increasing evidence for the use of multilevel epidural catheter-guided blood patches to treat spontaneous cerebrospinal fluid leaks in adults. Yet, there are scarce data for their use in children. Furthermore, higher level epidural blood patches are uncommon in both adult and pediatric populations.
CASE PRESENTATION: An adolescent boy with multilevel cerebrospinal fluid leaks associated with status migrainosus failed conservative pain management treatment. As he remained severely symptomatic, epidural blood patches were required to mitigate his symptoms. Given his multilevel leaks, a catheter-guided blood patch approach was used to treat multiple cervicothoracic and thoracolumbar leaks. After three separate uneventful blood patch procedures, the patient was free of symptoms. Other than some rebound intracranial hypertension, the patient maintained full neurological capacity without further complications. Following the resolution of treatment, he has not sought help for pain since his last blood patch over a year ago.
CONCLUSIONS: Multilevel catheter-guided blood patches have the potential to be administered to higher level spinal regions to the pediatric population suffering from multiple spontaneous cerebrospinal fluid leaks.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
|---|---|
| Enthalten in: |
Regional anesthesia and pain medicine - 47(2022), 7 vom: 31. Juli, Seite 430-433 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Walfish, Laurel [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Acute Pain |
|---|
| Anmerkungen: |
Date Completed 26.05.2022 Date Revised 21.06.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1136/rapm-2022-103487 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM338916849 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM338916849 | ||
| 003 | DE-627 | ||
| 005 | 20231226001736.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1136/rapm-2022-103487 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1129.xml |
| 035 | |a (DE-627)NLM338916849 | ||
| 035 | |a (NLM)35361696 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Walfish, Laurel |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Catheter-guided multilevel epidural blood patches in an adolescent boy |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 26.05.2022 | ||
| 500 | |a Date Revised 21.06.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © American Society of Regional Anesthesia & Pain Medicine 2022. No commercial re-use. See rights and permissions. Published by BMJ. | ||
| 520 | |a BACKGROUND: There is increasing evidence for the use of multilevel epidural catheter-guided blood patches to treat spontaneous cerebrospinal fluid leaks in adults. Yet, there are scarce data for their use in children. Furthermore, higher level epidural blood patches are uncommon in both adult and pediatric populations | ||
| 520 | |a CASE PRESENTATION: An adolescent boy with multilevel cerebrospinal fluid leaks associated with status migrainosus failed conservative pain management treatment. As he remained severely symptomatic, epidural blood patches were required to mitigate his symptoms. Given his multilevel leaks, a catheter-guided blood patch approach was used to treat multiple cervicothoracic and thoracolumbar leaks. After three separate uneventful blood patch procedures, the patient was free of symptoms. Other than some rebound intracranial hypertension, the patient maintained full neurological capacity without further complications. Following the resolution of treatment, he has not sought help for pain since his last blood patch over a year ago | ||
| 520 | |a CONCLUSIONS: Multilevel catheter-guided blood patches have the potential to be administered to higher level spinal regions to the pediatric population suffering from multiple spontaneous cerebrospinal fluid leaks | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute Pain | |
| 650 | 4 | |a Diagnostic Techniques and Procedures | |
| 650 | 4 | |a Pain Management | |
| 650 | 4 | |a Pediatrics | |
| 650 | 4 | |a Treatment Outcome | |
| 700 | 1 | |a Alobaikan, Sultan |e verfasserin |4 aut | |
| 700 | 1 | |a Lahijanian, Zubin |e verfasserin |4 aut | |
| 700 | 1 | |a Saint-Martin, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Cortes Nino, Maria delPilar |e verfasserin |4 aut | |
| 700 | 1 | |a Ingelmo, Pablo Mauricio |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Regional anesthesia and pain medicine |d 1998 |g 47(2022), 7 vom: 31. Juli, Seite 430-433 |w (DE-627)NLM09493827X |x 1532-8651 |7 nnns |
| 773 | 1 | 8 | |g volume:47 |g year:2022 |g number:7 |g day:31 |g month:07 |g pages:430-433 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1136/rapm-2022-103487 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 47 |j 2022 |e 7 |b 31 |c 07 |h 430-433 | ||