Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report

BACKGROUND: A spinal dural defect caused by needle placement for spinal level localization is an uncommon complication of cerebrospinal fluid leak with the potential for the development of intracranial hypertension. CASE DESCRIPTION: Our 48-year-old patient underwent unilateral fenestration and sequ...

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Detalles Bibliográficos
Autores principales: Andereggen, Lukas, Luedi, Markus M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8168678/
https://www.ncbi.nlm.nih.gov/pubmed/34084632
http://dx.doi.org/10.25259/SNI_245_2021
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author Andereggen, Lukas
Luedi, Markus M.
author_facet Andereggen, Lukas
Luedi, Markus M.
author_sort Andereggen, Lukas
collection PubMed
description BACKGROUND: A spinal dural defect caused by needle placement for spinal level localization is an uncommon complication of cerebrospinal fluid leak with the potential for the development of intracranial hypertension. CASE DESCRIPTION: Our 48-year-old patient underwent unilateral fenestration and sequestrectomy for intractable L5 radiculopathy due to disc herniation at the level L4–5 on the right side. The spinal level was identified with fluoroscopy after placement of a 24-gauge Sprotte spinal needle on the right side. Intraoperatively, a sub-millimeter spinal dural defect was visualized on the ipsilateral side. CONCLUSION: Caution is needed when needle placement is used to localize the spinal level for unilateral surgery.
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spelling pubmed-81686782021-06-02 Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report Andereggen, Lukas Luedi, Markus M. Surg Neurol Int Case Report BACKGROUND: A spinal dural defect caused by needle placement for spinal level localization is an uncommon complication of cerebrospinal fluid leak with the potential for the development of intracranial hypertension. CASE DESCRIPTION: Our 48-year-old patient underwent unilateral fenestration and sequestrectomy for intractable L5 radiculopathy due to disc herniation at the level L4–5 on the right side. The spinal level was identified with fluoroscopy after placement of a 24-gauge Sprotte spinal needle on the right side. Intraoperatively, a sub-millimeter spinal dural defect was visualized on the ipsilateral side. CONCLUSION: Caution is needed when needle placement is used to localize the spinal level for unilateral surgery. Scientific Scholar 2021-05-03 /pmc/articles/PMC8168678/ /pubmed/34084632 http://dx.doi.org/10.25259/SNI_245_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Andereggen, Lukas
Luedi, Markus M.
Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report
title Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report
title_full Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report
title_fullStr Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report
title_full_unstemmed Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report
title_short Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report
title_sort dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8168678/
https://www.ncbi.nlm.nih.gov/pubmed/34084632
http://dx.doi.org/10.25259/SNI_245_2021
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AT luedimarkusm duralleakageduetoipsilateralneedleplacementforspinallevellocalizationinunilateraldecompressionsurgeryacasereport

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