Revista de columna vertebral y neurocirugía

Epidural Blood Patch for the Treatment of Post-laminectomy Cerebrospinal Fluid Fistula – A Case Report

Takao Motosuneya, Ikuo Motosuneya and Hitoshi Masumo

Epidural Blood Patch for the Treatment of Post-laminectomy Cerebrospinal Fluid Fistula – A Case Report

We report a case of an 86 year old female that presented with a refractory cerebrospinal fluid fistula after L2-L5 posterior decompression. An epidural blood patch was performed on post-operative day 21, and the leakage of cerebrospinal fluid ceased soon after the procedure, thus avoiding the need for open closure. One year after surgery, the patient showed improvement in intermittent claudication, and the post-operative wound was completely closed. The epidural blood patch is a good of treatment for cerebrospinal fluid fistula after spinal surgery.