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  • Title: [Persistent leakage of cerebrospinal fluid after removal of a device implanted for subarachnoid analgesia].
    Author: Hidou M, Caramella JP, Claude E.
    Journal: Ann Fr Anesth Reanim; 1992; 11(4):467-9. PubMed ID: 1416283.
    Abstract:
    A case is reported of a persisting leakage of cerebrospinal fluid (CSF) occurring after removal of a subarachnoid analgesia kit. The kit had been inserted in a 79-year-old man who had severe perineal cancer pain. Fifteen months later, after a second episode of meningitis, the kit was removed. The leakage was noticed a few hours after removal of the kit. Biological parameters confirmed the fluid was most certainly CSF. Despite making the patient lie prone, water restriction and a compressive dressing, the leakage was still present three days later. A blood patch, and the epidural injection of biological glue, were of no avail. The leakage was only stopped by tying off the fistula with a ligature. The actiology and treatment of skin CSF fistulae after puncture of the dura mater are discussed.
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