Cerebrospinal fluid leakage and pneumocephalus secondary to spine stab wounds.

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
Nimrod RahamimovShay Freiman

Abstract

Cerebro-spinal fluid leakage from a spinal stab wound is rare, and usually not a life-threatening injury. Pneumocephalus, a possible rare complication of traumatic cerebro-spinal fluid leakage, can potentially lead to intracranial hemorrhage and death. We describe two cases of spinal stab wounds complicated by cerebro-spinal fluid leakage, one of them developing into severe pneumocephalus. Both patients recovered completely with the following treatment protocol: (a) trendelenburg positioning of the patient, (b) insertion of a continuous-drainage cerebro-spinal fluid catheter into the lumbar thecal sac, (c) primary suture of the leaking skin wound, (d) IV antibiotic therapy.

References

Sep 1, 1989·Archives of Emergency Medicine·R D Page, R H Lye
Dec 10, 1999·AJR. American Journal of Roentgenology·R N UppotH Ito
Apr 13, 2005·The Journal of Trauma·Brian K P Goh, Allen W Y Yeo

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Citations

Mar 1, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Stephan EmichMark R McCoy

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