Progressive back pain due to epidural hygroma: an infrequent complication of lumbar puncture in adults

Rico-Santos, María; Villafani, Javier; Sáiz, Antonio; Nacarino, Pedro Oliva

doi:10.1136/bcr-2015-211379

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…10 The incidence is suspected to be higher than initially described, given that the majority of cases remain asymptomatic. 3,10,11 Management options of an epidural hematohygroma are variable. The use of an atraumatic LP needle may be associated with lower complication rates.…”

Section: Discussionmentioning

confidence: 99%

“…10 The incidence is suspected to be higher than initially described, given that the majority of cases remain asymptomatic. 3 10 11…”

Section: Discussionmentioning

confidence: 99%

“…1 9 If analgesia with nonsteroidal anti-inflammatory drugs, opioids, corticoids, and caffeine is unsuccessful in providing relief, the use of an epidural blood patch with autologous blood injection into the epidural space has been described with good success. 3 If symptoms persist after a trial of conservative treatment, surgical repair of the dural defect may be considered as a treatment option. 11 Our case is unique in that surgical intervention was performed due to the rapid onset and severity of the patient's symptoms including saddle anesthesia and lower extremity weakness, which were suspected to be related to mass effect.…”

Section: Discussionmentioning

confidence: 99%

“…Although many epidural fluid collections resolve with conservative management, 1,2 an epidural blood patch is an option for those with persistent symptoms. 3 We present a rare case of a spinal epidural fluid collection that developed in a pediatric patient with idiopathic intracranial hypertension following a LP. The collection became rapidly symptomatic and was treated with surgical decompression followed by an epidural blood patch.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spinal Epidural Collection following Lumbar Puncture in a Patient with Idiopathic Intracranial Hypertension

Krothapalli

Hersh

Yorns

et al. 2023

Journal of Pediatric Neurology

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Epidural cerebrospinal fluid (CSF) collections after lumbar puncture are a rare and underdiagnosed entity in the pediatric population. Physicians should maintain vigilance about warning signs of severe progressive back pain extending beyond the puncture site and new neurological symptoms after lumbar puncture. Extensive symptomatic epidural collections, which may be dorsal and compromise the thecal sac, can be secondary to CSF leakage. Early diagnosis with spinal magnetic resonance imaging and prompt treatment is vital in reducing morbidity and mortality. These collections typically resolve with conservative management and no serious sequelae. We report a rare case of spinal epidural collection following a lumbar puncture in a patient with idiopathic intracranial hypertension that was successfully treated with a blood patch and surgical decompression in the setting of significant neurological deterioration.

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