Caudal epidural blood patch for treating intractable vomiting in a child after placement of a permanent intrathecal catheter

Anesthesia and Analgesia
B Robins, D P Boggs

Abstract

Postdural puncture cerebral spinal fluid (CSF) leak most often manifests as a postdural puncture headache (PDPH). The reported frequency in young children varies (1-4). Persistent CSF leak may also be present without PDPH. We present a case of postoperative nausea and vomiting resulting from a presumed lumbar CSF leak in a nonverbal child after surgical placement of a permanent intrathecal catheter. Treatment with an epidural blood patch (EBP) via the caudal approach resulted in complete relief of symptoms.

References

Jul 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·L RoyJ Lavoie
Jul 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M A Kowbel, V K Comfort
Dec 1, 1996·Anaesthesia·L H WeeA J Cranston
Jun 6, 1998·Clinical Pediatrics·C RamamoorthyJ S Miser
Sep 18, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P J Duffy, E T Crosby

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Citations

Jul 26, 2002·Paediatric Anaesthesia·Paula Ylönen, Hannu Kokki
Jan 27, 2005·Journal of Paediatrics and Child Health·J T MilledgeE Onikul
Jul 26, 2002·Acta Anaesthesiologica Scandinavica·P Ylönen, H Kokki
Oct 5, 2006·Current Opinion in Anaesthesiology·Christian Seefelder

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