Background and Objectives: Cerebrospinal fluid cutaneous fistulae are rare complications of neuraxial needle procedures.
Case Report: We present the first reported case of a persistent cerebrospinal fluid cutaneous fistula in a child who underwent epidural analgesia. Careful assessment and circumspect treatment of this cerebrospinal fluid cutaneous fistula led to an excellent outcome in this child.
Conclusions: Assessment can be challenging in young children, and guidelines for management are absent. Technical issues in treatment are discussed in addition to pitfalls in diagnosis in young children.
- Post-dural puncture headache
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Reprint requests: Kenneth R. Goldschneider, M.D., Division of Pain Management, Department of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039. E-mail: