Management of postoperative cervical pseudomeningocele with percutaneous aspiration and epidural blood patch

被引：0

作者：

Schartz, Derrek A. ^{[1
]}

Ismail, Rahim F. ^{[1
]}

Rahman, Akm A. ^{[1
]}

Bender, Matthew T. ^{[2
]}

Westesson, Per-Lennart ^{[1
]}

Mesfin, Addisu ^{[3
]}

Kessler, Alex ^{[1
]}

机构：

[1] Univ Rochester, Med Ctr, Dept Imaging Sci, Rochester, NY 14642 USA

[2] Univ Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA

[3] Univ Rochester, Med Ctr, Dept Orthoped Surg, Rochester, NY 14642 USA

来源：

INTERVENTIONAL NEURORADIOLOGY | 2024年 / 30卷 / 01期

关键词：

Cervical; pseudomeningocele; spine surgery; spine;

D O I：

10.1177/15910199221113714

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction While epidural blood patch can be an effective management option in lumbar pseudomeningoceles in certain clinical settings, its utility in the cervical spine is unclear. The aim of this study was to evaluate the safety and effectiveness of percutaneous aspiration and autologous blood patch for post-operative durotomy related pseudomeningoceles within the cervical spine. Methods A single institution retrospective review detailing 3 patients with durotomy related pseudomeningocele following posterior cervical spine surgery was completed. Results In all three cases, aspiration with subsequent injection of autologous epidural blood patch successfully treated each pseudomeningocele. One patient required more than one intervention, while the other two were successfully treated after one procedure. All three patients improved clinically without need for additional surgery. Conclusion Percutaneous aspiration and epidural blood patch can be used to safely manage post-operative pseudomeningoceles within the posterior cervical spine.

引用

页码：137 / 142

页数：6

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