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Eric W Nottmeier - One of the best experts on this subject based on the ideXlab platform.

  • Symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4-dimensional ultrasound-guided epidural blood patch.
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    BACKGROUND: A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a ligamentum flavum, the use of high-resolution ultrasound (US) spine imaging enables real-time advancement of a Tuohy needle towards the dura and the precise injection of blood to cover the dural defect. METHODS: Six patients, after lumbar spine surgery with instrumentation and primary closure was complicated by incidental dural tears, developed severe symptomatic headaches that failed conservative therapy. All patients underwent US-guided epidural blood patch. Precise needle advancement to the dura was observed with US guidance, and 4-dimensional US scanning was used to confirm the expansion of blood over the dura in real time. RESULTS: All patients had symptomatic relief of their headaches and successful treatment of dural Leaks using US-guided blood patch. CONCLUSIONS: Real-time US guidance allowed accurate positioning of the Tuohy needle and deposition of the epidural blood patch in the setting of a surgically removed ligamentum flavum. Further investigations are needed to confirm that an US-guided epidural blood patch may offer reliable symptomatic relief to postsurgical persistent Cerebrospinal Fluid Leak and may serve as an intermediate step along a spectrum between conservative initial management and surgical reexploration.

  • symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4 dimensional ultrasound guided epidural blood patch
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    Background:A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a li

Steven R. Clendenen - One of the best experts on this subject based on the ideXlab platform.

  • Symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4-dimensional ultrasound-guided epidural blood patch.
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    BACKGROUND: A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a ligamentum flavum, the use of high-resolution ultrasound (US) spine imaging enables real-time advancement of a Tuohy needle towards the dura and the precise injection of blood to cover the dural defect. METHODS: Six patients, after lumbar spine surgery with instrumentation and primary closure was complicated by incidental dural tears, developed severe symptomatic headaches that failed conservative therapy. All patients underwent US-guided epidural blood patch. Precise needle advancement to the dura was observed with US guidance, and 4-dimensional US scanning was used to confirm the expansion of blood over the dura in real time. RESULTS: All patients had symptomatic relief of their headaches and successful treatment of dural Leaks using US-guided blood patch. CONCLUSIONS: Real-time US guidance allowed accurate positioning of the Tuohy needle and deposition of the epidural blood patch in the setting of a surgically removed ligamentum flavum. Further investigations are needed to confirm that an US-guided epidural blood patch may offer reliable symptomatic relief to postsurgical persistent Cerebrospinal Fluid Leak and may serve as an intermediate step along a spectrum between conservative initial management and surgical reexploration.

  • symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4 dimensional ultrasound guided epidural blood patch
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    Background:A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a li

Stephen M Pirris - One of the best experts on this subject based on the ideXlab platform.

  • Symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4-dimensional ultrasound-guided epidural blood patch.
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    BACKGROUND: A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a ligamentum flavum, the use of high-resolution ultrasound (US) spine imaging enables real-time advancement of a Tuohy needle towards the dura and the precise injection of blood to cover the dural defect. METHODS: Six patients, after lumbar spine surgery with instrumentation and primary closure was complicated by incidental dural tears, developed severe symptomatic headaches that failed conservative therapy. All patients underwent US-guided epidural blood patch. Precise needle advancement to the dura was observed with US guidance, and 4-dimensional US scanning was used to confirm the expansion of blood over the dura in real time. RESULTS: All patients had symptomatic relief of their headaches and successful treatment of dural Leaks using US-guided blood patch. CONCLUSIONS: Real-time US guidance allowed accurate positioning of the Tuohy needle and deposition of the epidural blood patch in the setting of a surgically removed ligamentum flavum. Further investigations are needed to confirm that an US-guided epidural blood patch may offer reliable symptomatic relief to postsurgical persistent Cerebrospinal Fluid Leak and may serve as an intermediate step along a spectrum between conservative initial management and surgical reexploration.

  • symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4 dimensional ultrasound guided epidural blood patch
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    Background:A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a li

Bruce Leone - One of the best experts on this subject based on the ideXlab platform.

  • Symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4-dimensional ultrasound-guided epidural blood patch.
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    BACKGROUND: A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a ligamentum flavum, the use of high-resolution ultrasound (US) spine imaging enables real-time advancement of a Tuohy needle towards the dura and the precise injection of blood to cover the dural defect. METHODS: Six patients, after lumbar spine surgery with instrumentation and primary closure was complicated by incidental dural tears, developed severe symptomatic headaches that failed conservative therapy. All patients underwent US-guided epidural blood patch. Precise needle advancement to the dura was observed with US guidance, and 4-dimensional US scanning was used to confirm the expansion of blood over the dura in real time. RESULTS: All patients had symptomatic relief of their headaches and successful treatment of dural Leaks using US-guided blood patch. CONCLUSIONS: Real-time US guidance allowed accurate positioning of the Tuohy needle and deposition of the epidural blood patch in the setting of a surgically removed ligamentum flavum. Further investigations are needed to confirm that an US-guided epidural blood patch may offer reliable symptomatic relief to postsurgical persistent Cerebrospinal Fluid Leak and may serve as an intermediate step along a spectrum between conservative initial management and surgical reexploration.

  • symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4 dimensional ultrasound guided epidural blood patch
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    Background:A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a li

Christopher B. Robards - One of the best experts on this subject based on the ideXlab platform.

  • Symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4-dimensional ultrasound-guided epidural blood patch.
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    BACKGROUND: A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a ligamentum flavum, the use of high-resolution ultrasound (US) spine imaging enables real-time advancement of a Tuohy needle towards the dura and the precise injection of blood to cover the dural defect. METHODS: Six patients, after lumbar spine surgery with instrumentation and primary closure was complicated by incidental dural tears, developed severe symptomatic headaches that failed conservative therapy. All patients underwent US-guided epidural blood patch. Precise needle advancement to the dura was observed with US guidance, and 4-dimensional US scanning was used to confirm the expansion of blood over the dura in real time. RESULTS: All patients had symptomatic relief of their headaches and successful treatment of dural Leaks using US-guided blood patch. CONCLUSIONS: Real-time US guidance allowed accurate positioning of the Tuohy needle and deposition of the epidural blood patch in the setting of a surgically removed ligamentum flavum. Further investigations are needed to confirm that an US-guided epidural blood patch may offer reliable symptomatic relief to postsurgical persistent Cerebrospinal Fluid Leak and may serve as an intermediate step along a spectrum between conservative initial management and surgical reexploration.

  • symptomatic postlaminectomy Cerebrospinal Fluid Leak treated with 4 dimensional ultrasound guided epidural blood patch
    Journal of Neurosurgical Anesthesiology, 2012
    Co-Authors: Steven R. Clendenen, Christopher B. Robards, Bruce Leone, Stephen M Pirris, Eric W Nottmeier
    Abstract:

    Background:A persistent Cerebrospinal Fluid Leak after spinal surgery can be associated with both meningitis and/or pneumocephalus. Therefore, early active intervention is recommended with surgical exploration, lumbar subarachnoid drain, and less commonly epidural blood patch. In the absence of a li