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Journal of Pediatric Neurology 2024; 22(03): 227-229
DOI: 10.1055/s-0043-57012
Case Report

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

Neeharika Krothapalli 
1   Department of Neurology, University of Connecticut, Farmington, Connecticut, United States
,
David Hersh
2   Department of Pediatric Neurosurgery, Connecticut Children's Medical Center, Hartford, Connecticut, United States
,
William Yorns
3   Department of Pediatric Neurology, Connecticut Children's Medical Center, Hartford, Connecticut, United States
,
Gyula Acsadi
3   Department of Pediatric Neurology, Connecticut Children's Medical Center, Hartford, Connecticut, United States
,
Francis J. DiMario Jr.
3   Department of Pediatric Neurology, Connecticut Children's Medical Center, Hartford, Connecticut, United States
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Abstract

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.

Keywords

lumbar puncture - epidural collection - idiopathic intracranial hypertension


Publication History

Received: 08 December 2022

Accepted: 20 March 2023

Article published online:
10 April 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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