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Minimally invasive restore of a pseudomeningocele attributable to a sheared intrathecal catheter following implantation of a drug supply system.

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Minimally invasive restore of a pseudomeningocele attributable to a sheared intrathecal catheter following implantation of a drug supply system.

Surg Neurol Int. 2017;eight:297

Authors: Raju S, Champagne PO, Walsh L, Denis DJ

Summary
Background: Shearing of an intrathecal catheter throughout implantation of a drug supply system is an underreported complication that may be difficult to handle.
Case Description: A 53-year-old man with refractory most cancers ache had an intrathecal pump system implanted. The process was sophisticated with catheter shear and retention within the intrathecal area. A second catheter was efficiently positioned however formation of a painful pseudomeningocele and ineffective ache reduction sophisticated the end result. A minimally invasive method via a tubular retractor was employed to entry the spinal canal by way of a laminotomy, the sheared catheter was eliminated and the dural defect repaired. Full decision of the pseudomeningocele and environment friendly ache management had been noticed at follow-up.
Conclusion: Minimally invasive method to the backbone is demonstrated as a secure and efficient different on this case of retained catheter induced cerebrospinal fluid (CSF) leak.

PMID: 29285413 [PubMed]

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