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

xlomafota13 shared this article with you from Inoreader Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report Via leak of cerebrospinal fluid Surg Neurol Int. 2021 May 3;12:205. doi: 10.25259/SNI_245_2021. eCollection 2021. ABSTRACT 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. PMID:34084632 | PMC:PMC8168678 | DOI:10.25259/SNI_245_2021 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.