Management of cerebral spinal fluid leak complicating spinal cord stimulator implantation

Pain Pract. 2006 Dec;6(4):285-8. doi: 10.1111/j.1533-2500.2006.00097.x.

Abstract

Accidental puncture of the dura mater with resultant leakage of cerebral spinal fluid (CSF) and development of postdural puncture headache (PDPH) is a known potential complication of percutaneous placement of spinal cord stimulator (SCS) leads. However, the implications and management strategies for this complication have not been thoroughly reported. We report two cases of SCS lead placement complicated by CSF leak and PDPH.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Blood Patch, Epidural / methods
  • Blood Patch, Epidural / standards
  • Diskectomy / adverse effects
  • Dura Mater / injuries*
  • Dura Mater / physiopathology
  • Electric Stimulation Therapy / adverse effects*
  • Electric Stimulation Therapy / instrumentation
  • Electric Stimulation Therapy / standards
  • Electrodes, Implanted / adverse effects
  • Electrodes, Implanted / standards
  • Epidural Space / anatomy & histology
  • Epidural Space / surgery*
  • Female
  • Headache / etiology
  • Headache / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Pain, Intractable / therapy*
  • Reflex Sympathetic Dystrophy / therapy
  • Spinal Cord / physiology
  • Spinal Cord / surgery*
  • Subarachnoid Space / injuries
  • Subarachnoid Space / physiopathology
  • Subdural Effusion / etiology*
  • Subdural Effusion / physiopathology
  • Subdural Effusion / prevention & control