Case History Number 86
- 1 September 1975
- journal article
- research article
- Published by Wolters Kluwer Health in Anesthesia & Analgesia
- Vol. 54 (5) , 691???692-694
- https://doi.org/10.1213/00000539-197509000-00030
Abstract
From the symptoms and complications of the blocks performed on this patient, the dura was punctured, probably during the second block. CSF leakage through a dural rent during and after a lumbar puncture is well recognized. The cause of the cutaneous fistula in this particular case may be 2-fold: there were repeated needle penetrations of 1 puncture site, which may have promoted fistula formation; there may have been inadvertent deposition of triamcinolone along the needle tract. This may have prevented scar formation and closure of the needle tract, causing a cutaneous fistula and subsequent CSF leakage.Keywords
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