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Intrathecal blood injection: a case report of a rare complication of an epidural blood patch
BACKGROUND: Intrathecal injection is a rare complication of spinal anesthesia and an underreported complication of epidural blood patches. Although there are other reported cases of intrathecal blood injection, these cases lack confirmatory imaging and others report injection of mixed blood with oth...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222553/ https://www.ncbi.nlm.nih.gov/pubmed/32404065 http://dx.doi.org/10.1186/s12883-020-01763-8 |
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author | Seemiller, Joseph Challagundla, Sankeerth Taylor, Travis Zand, Ramin |
author_facet | Seemiller, Joseph Challagundla, Sankeerth Taylor, Travis Zand, Ramin |
author_sort | Seemiller, Joseph |
collection | PubMed |
description | BACKGROUND: Intrathecal injection is a rare complication of spinal anesthesia and an underreported complication of epidural blood patches. Although there are other reported cases of intrathecal blood injection, these cases lack confirmatory imaging and others report injection of mixed blood with other agents. CASE PRESENTATION: We present a case report of post-laminectomy cerebrospinal fluid leak who underwent epidural blood patch placement. CT and MRI brain imaging was obtained, depicting intrathecal blood products. The patient had subsequent seizures and respiratory distress, received supportive care, and returned to baseline after several days. CONCLUSION: The patient’s clinical course illustrates the potential complications of blood products within CSF, including seizures and respiratory distress, which improved with supportive care in this case. Importantly, to our knowledge, this is the only report that clearly depicts injection of purely blood products, without other confounding agents (such as gadolinium), into intrathecal space and with diffuse spread through the CSF as visualized on CT and MRI imaging. |
format | Online Article Text |
id | pubmed-7222553 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72225532020-05-27 Intrathecal blood injection: a case report of a rare complication of an epidural blood patch Seemiller, Joseph Challagundla, Sankeerth Taylor, Travis Zand, Ramin BMC Neurol Case Report BACKGROUND: Intrathecal injection is a rare complication of spinal anesthesia and an underreported complication of epidural blood patches. Although there are other reported cases of intrathecal blood injection, these cases lack confirmatory imaging and others report injection of mixed blood with other agents. CASE PRESENTATION: We present a case report of post-laminectomy cerebrospinal fluid leak who underwent epidural blood patch placement. CT and MRI brain imaging was obtained, depicting intrathecal blood products. The patient had subsequent seizures and respiratory distress, received supportive care, and returned to baseline after several days. CONCLUSION: The patient’s clinical course illustrates the potential complications of blood products within CSF, including seizures and respiratory distress, which improved with supportive care in this case. Importantly, to our knowledge, this is the only report that clearly depicts injection of purely blood products, without other confounding agents (such as gadolinium), into intrathecal space and with diffuse spread through the CSF as visualized on CT and MRI imaging. BioMed Central 2020-05-13 /pmc/articles/PMC7222553/ /pubmed/32404065 http://dx.doi.org/10.1186/s12883-020-01763-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Seemiller, Joseph Challagundla, Sankeerth Taylor, Travis Zand, Ramin Intrathecal blood injection: a case report of a rare complication of an epidural blood patch |
title | Intrathecal blood injection: a case report of a rare complication of an epidural blood patch |
title_full | Intrathecal blood injection: a case report of a rare complication of an epidural blood patch |
title_fullStr | Intrathecal blood injection: a case report of a rare complication of an epidural blood patch |
title_full_unstemmed | Intrathecal blood injection: a case report of a rare complication of an epidural blood patch |
title_short | Intrathecal blood injection: a case report of a rare complication of an epidural blood patch |
title_sort | intrathecal blood injection: a case report of a rare complication of an epidural blood patch |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222553/ https://www.ncbi.nlm.nih.gov/pubmed/32404065 http://dx.doi.org/10.1186/s12883-020-01763-8 |
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