Doctor insights on:
Csf Leak After Spinal Anesthesia
I have chiari malformation. Decompressed 2012, CSF leak surgery 2012, vp shunt 2013. Carpal tunnel result of chiari? Only small relief after surgeries
No relationship: Compression of the median nerve at the carpal tunnel has no relationship to the chiari malformation. Patients with chiari i malformation may have syringomyelia, which can cause neck and arm symptoms. However, carpal tunnel syndrome is very specific to the nerve at the wrist. Your neurosurgeon can help distinguish between the two conditions, and explain why you still have symptoms. ...Read more
LP complications: When spinal tap is done, if difficult, you might have local external bruising, swelling, and tenderness. Rarely, a local infection could occur. Typically, the usual reactions dissipate within a day or two. If symptoms are worsening, contact your doctor. ...Read moreSee 1 more doctor answer
Can dural puncture from spinal anesthetic for csection cause brain damage? Had the spinal headache for 2 weeks no blood patch. Symptoms were severe.
Dural puncture: Dural puncture cannot cause any brain damage unless there is very high CSF (cerebrospinal fluid) pressure inside the skull (increased icp - intracranial pressure), in which case the skull contents can herniate outside the skull through the foramen magnum (through which the spinal cord exits). This would be an emergency and if you are writing this, you dont have it ! ...Read more
Can dural puncture from spinal anesthetic from csection cause tarlov cysts? Also where do they put needle for spinal?
Tarlov cysts: Tarlov cysts are not known to be triggered by a dural puncture. For a spinal "tap" the needle is inserted at the level of l4-5 for surgical spinal anesthesia. It may be inserted higher for a myelogram (injecting the "x-ray dye" into the spinal fluid it may be inserted at higher levels. After about L2 level there is no spinal cord inside the spine - just the nerve roots so any approach higher than. ...Read moreSee 1 more doctor answer
Had Laminectomy at L-3 in May 2016, post surgery numbness of right leg from waist to toes, surgeon knicked dura during surgery with CSF leakage.
CSF leak following labor epidural. Blood patch resolved spinal headache, but now have other concerns(pressure at base of skull, lightheaded, no appetite).What tests to determine if CSF leak continues?
Not any: MRI can occasionally pick up continuing leak. Usually based on symptoms. If you have continuing positional headache that makes the diagnosis of CSF leak. Sometimes it takes a few days for CSF pressures to stabilize and to feel normal: especially after having a baby with all the disruptions in sleep, your physiology etc that that brings ...Read moreSee 1 more doctor answer
Is it possible to have CSF leak 3wks post ESI. L4-L5. Bad headache/foggy/no fever. Painful epidural even with lidocaine before placed. NSAI helps.
Headache after ESI: Post dural puncture headache after 3 weeks LESI very unlikely but possible NSAID are not going to help much Cafergot (ergotamine and caffeine) which has caffeine and ergotamine will be more helpful if there is CSF leak you will need a Epidural Blood Patch contact the MD tha tgave you the LESI treatment ...Read moreSee 3 more doctor answers
A lot: Reconstructive implies that either a fracture is being repaired or abnormal curves (scoliosis or kyphosis) is being addressed. The surgery involves taking pressure of nerves by removing bone as needed, along with fusion of the involved bones in order to align them properly. Rods, screws and cages are often placed. Osteotomies to allow the vertebra to be aligned better can be performed as well. ...Read moreSee 1 more doctor answer
Level?: Most frequent complication is spinal headache which can be treated with epidural blood patch. If the epidural placement is above lumbar level, although very low risk, spinal cord can be penetrated, which can cause neuro deficit. If epidural catheter placed and migrates to spinal space severe hypotension or complete spinal can occur and it can require control of the airway until spinal wears off. ...Read moreSee 2 more doctor answers
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