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Case report
Cerebrospinal Fluid Cutaneous Fistula After Epidural Analgesia in a Child
  1. Liana Hosu, M.D.,
  2. Mark J. Meyer, M.D. and
  3. Kenneth R. Goldschneider, M.D.
  1. Division of Pain Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Abstract

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.

  • Epidural
  • Children
  • Fistula
  • Complications
  • Post-dural puncture headache

https://doi.org/10.1136/rapm-00115550-200801000-00013

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    Footnotes

    • 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: Kenneth.goldschneider{at}cchmc.org