Progressive back pain due to epidural cerebrospinal fluid collection: a rare complication of lumbar puncture in adolescents

Authors

  • Ana Sofia Simões Cuidados Intensivos Pediátricos. Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra https://orcid.org/0000-0001-8443-0689
  • Raquel Penteado Department of Pediatric Intensive Care, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra
  • Leonor Carvalho Department of Pediatric Intensive Care, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra https://orcid.org/0000-0003-0537-4020
  • Andrea Dias Department of Pediatric Intensive Care, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra; Faculdade de Medicina, Universidade de Coimbra https://orcid.org/0000-0001-5102-5388

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v31.i1.20188

Keywords:

adolescent, complications, epidural, hygroma, lumbar puncture

Abstract

Lumbar puncture is commonly performed in Pediatrics. Common complications include headache and mild pain at the puncture site. Uncommon complications after the procedure, such as epidural cerebrospinal fluid collection, have rarely been described in children and adolescents.

The authors present the clinical report of an adolescent with symptomatic epidural cerebrospinal fluid collection following a non-traumatic lumbar puncture.

Diagnosis (including magnetic resonance imaging findings), treatment, clinical course, and prognosis associated with epidural cerebrospinal fluid collection are reported.

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References

Ebinger F, Kosel C, Pietz J, Rating D. Headache and backache after lumbar puncture in children and adolescents: A prospective study. Pediatrics. 2004;113(6 I):1588–92.

Koch BL, Moosbrugger EA, Egelhoff JC. Symptomatic spinal epidural collections after lumbar puncture in children. Am J Neuroradiol. 2007;28(9):1811–6.

Ylönen P, Kokki H. Management of postdural puncture headache with epidural blood patch in children. Paediatr Anaesth. 2002;12(6):526–9.

Amini A, Liu JK, Kan P, Brockmeyer DL. Cerebrospinal fluid dissecting into spinal epidural space after lumbar puncture causing cauda equina syndrome: Review of literature and illustrative case. Child’s Nerv Syst. 2006;22(12):1639–41.

Ng WH, Drake JM. Symptomatic spinal epidural CSF collection after lumbar puncture in a young adult: Case report and review of literature. Child’s Nerv Syst. 2010;26(2):259–62.

Nigrovic LE, Kuppermann N, Neuman MI. Risk Factors for Traumatic or Unsuccessful Lumbar Punctures in Children. Ann Emerg Med. 2007;49(6):762–71.

Janssens E, Aerssens P, Alliët P, Gillis P, Raes M. Post-dural puncture headaches in children. A literature review. Eur J Pediatr. 2003;162(3):117–21.

Hu B, Chen TM, Liu B, Chi W, Miao YQ, Nie XL, et al. Optimal management after paediatric lumbar puncture: A randomized controlled trial. BMC Neurol. 2019;19(1):1–7.

Kiechl-kohlendorfer U. Original Report Lumbar Puncture in Neonates : Incidence and Sonographic Appearance. AJR Am J Roentgenol. 2003;181(July):231–4.

Sinclair AJ, Carroll C, Davies B. Cauda equina syndrome following a lumbar puncture. J Clin Neurosci [Internet]. 2009;16(5):714–6. Available from: http://dx.doi.org/10.1016/j.jocn.2008.07.079.

Shi J, Jia L, Yuan W, Shi GD, Ma B, Wang B, et al. Clinical classification of cauda equina syndrome for proper treatment: A retrospective analysis of 39 patients. Acta Orthop. 2010;81(3):391–5.

Bezov D, Lipton RB, Ashina S. Post-dural puncture headache: Part i diagnosis, epidemiology, etiology, and pathophysiology. Headache. 2010;50(7):1144–52.

Rico-Santos M, Villafani J, Sáiz A, Nacarino PO. Progressive back pain due to epidural hygroma: An infrequent complication of lumbar puncture in adults. BMJ Case Rep. 2015;2015(C):1–2.

So Y, Park JM, Lee PM, Kim CL, Lee C, Kim JH. Epidural blood patch for the treatment of spontaneous and iatrogenic orthostatic headache. Pain Physician. 2016;19(8):E1115–22.

Birkholz SE, Patil AA, Chamczuk AJ. Treatment of postoperative recurrent cerebrospinal fluid leak with pseudo-meningocele formation using temporary epidural drain. Interdiscip Neurosurg Adv Tech Case Manag [Internet]. 2019;16(November 2018):25–8. Available from: https://doi.org/10.1016/j.inat.2018.11.006.

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Published

2022-04-04

How to Cite

1.
Simões AS, Penteado R, Carvalho L, Dias A. Progressive back pain due to epidural cerebrospinal fluid collection: a rare complication of lumbar puncture in adolescents. REVNEC [Internet]. 2022Apr.4 [cited 2023Jun.3];31(1):55-8. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/20188

Issue

Vol. 31 No. 1 (2022)

Section

Case Reports

License

Copyright (c) 2022 Ana Sofia Simões, Raquel Penteado, Leonor Carvalho, Andrea Dias

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