Delayed Post Caudal Catheter Placement Pseudomeningocele: A Case Report. Issue 10 (15th May 2018)

• Record Type: Journal Article
• Authors: Bradford, Victoria A.; Falcon, Ricardo J.; Petersen, Timothy R.; Soneru, Codruta N.
• Is Part Of: A & A practice. Volume 10:Issue 10(2018)
• Publication Date: 2018-05-15
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000679
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : We present a rare case of a 7-month-old infant who developed a pseudomeningocele 16 days after an uneventful caudal catheter placement. The patient did not exhibit neurological deficits or signs of infection, and the mass increased in size with Valsalva maneuver. Pseudomeningocele, an abnormal collection of cerebrospinal fluid around an opening in the dura mater, can be iatrogenic or traumatic. Regional anesthesia is rarely the cause. Recognizing diagnostic features such as the lack of infectious signs and mass compressibility can prevent misdiagnosis and inappropriate invasive treatment.