| _version_ | 1867018673638604800 |
|---|---|
| author | Wouter I. Schievink Marcel M. Maya Rachelle B. Taché Corey T. Walker |
| author_facet | Wouter I. Schievink Marcel M. Maya Rachelle B. Taché Corey T. Walker Wouter I. Schievink Marcel M. Maya Rachelle B. Taché Corey T. Walker |
| collection | Wiley Open Access |
| contents | Pediatric post‐dural puncture headache and paraplegia Wouter I. Schievink Marcel M. Maya Rachelle B. Taché Corey T. Walker Headache: The Journal of Head and Face Pain Abstract A cerebrospinal fluid (CSF) leak developed in a 14‐year‐old girl and a 12‐year‐old boy following a diagnostic lumbar puncture. Two days and sixteen years later, respectively, paraplegia developed due to a functional disorder. Imaging revealed an extensive extradural CSF collection in both patients and digital subtraction myelography was required to pinpoint the exact site of a ventral dural puncture hole where the lumbar spinal needle had gone “through and through” the dural sac. The CSF leak was complicated by cortical vein thrombosis in one patient. Both patients underwent uneventful surgical repair of the ventral dural puncture hole with prompt resolution of the paraplegia. Iatrogenic ventral CSF leaks may become exceptionally long standing and may be complicated by paraplegia on a functional basis both in the acute and chronic phases. 10.1111/head.14749 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/head.14749 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_head_14749 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Pediatric post‐dural puncture headache and paraplegia Wouter I. Schievink Marcel M. Maya Rachelle B. Taché Corey T. Walker Headache: The Journal of Head and Face Pain Pediatric post‐dural puncture headache and paraplegia Wouter I. Schievink Marcel M. Maya Rachelle B. Taché Corey T. Walker Headache: The Journal of Head and Face Pain Abstract A cerebrospinal fluid (CSF) leak developed in a 14‐year‐old girl and a 12‐year‐old boy following a diagnostic lumbar puncture. Two days and sixteen years later, respectively, paraplegia developed due to a functional disorder. Imaging revealed an extensive extradural CSF collection in both patients and digital subtraction myelography was required to pinpoint the exact site of a ventral dural puncture hole where the lumbar spinal needle had gone “through and through” the dural sac. The CSF leak was complicated by cortical vein thrombosis in one patient. Both patients underwent uneventful surgical repair of the ventral dural puncture hole with prompt resolution of the paraplegia. Iatrogenic ventral CSF leaks may become exceptionally long standing and may be complicated by paraplegia on a functional basis both in the acute and chronic phases. 10.1111/head.14749 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Pediatric post‐dural puncture headache and paraplegia |
| topic | Headache: The Journal of Head and Face Pain |
| url | https://headachejournal.onlinelibrary.wiley.com/doi/10.1111/head.14749 |