Andereggen, Lukas; Luedi, Markus M. (2021). Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report. Surgical neurology international, 12, p. 205. Wolters Kluwer Medknow 10.25259/SNI_245_2021
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Background
A spinal dural defect caused by needle placement for spinal level localization is an uncommon complication of cerebrospinal fluid leak with the potential for the development of intracranial hypertension.
Case Description
Our 48-year-old patient underwent unilateral fenestration and sequestrectomy for intractable L5 radiculopathy due to disc herniation at the level L4-5 on the right side. The spinal level was identified with fluoroscopy after placement of a 24-gauge Sprotte spinal needle on the right side. Intraoperatively, a sub-millimeter spinal dural defect was visualized on the ipsilateral side.
Conclusion
Caution is needed when needle placement is used to localize the spinal level for unilateral surgery.
Item Type: |
Journal Article (Further Contribution) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy 04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery |
UniBE Contributor: |
Andereggen, Lukas, Lüdi, Markus |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2229-5097 |
Publisher: |
Wolters Kluwer Medknow |
Language: |
English |
Submitter: |
Jeannie Wurz |
Date Deposited: |
05 Jul 2021 15:05 |
Last Modified: |
05 Dec 2022 15:51 |
Publisher DOI: |
10.25259/SNI_245_2021 |
PubMed ID: |
34084632 |
Uncontrolled Keywords: |
Dural puncture Intracranial hypotension Lumbar spinal surgery Postdural puncture headache Sealing |
BORIS DOI: |
10.48350/157147 |
URI: |
https://boris.unibe.ch/id/eprint/157147 |
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