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Sunday, June 6, 2021

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

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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

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