{"id":"0b05db97-d4a5-4b5b-af23-9ab470d0fddf","slug":"epidural-cerebrospinal-fluid-collection-following-lumbar-puncture-in-an-adult-patient-a-case-report-and-literature-review","title":"Epidural cerebrospinal fluid collection following lumbar puncture in an adult patient: A case report and literature review","authors":["Jonathon Cavaleri","Jennifer L. Perez","Alp Ozpinar","Nima Alan","Edward Monaco"],"abstract":"Background: Cerebrospinal fluid (CSF) leakage into the epidural space following lumbar puncture (LP) has been documented in pediatric patients, but there have been no reported cases in adults. Case Description: We report an epidural CSF leak in an adult who presented with back pain, positional headache, urinary retention, and constipation following an LP performed as a part of a research study. The patient's magnetic resonance (MR) scan showed an extensive epidural CSF collection. Following placement in a recumbent position for 72 h, the collection fully resolved along with his neurological complaints. Conclusion: Symptomatic epidural CSF collections rarely occur in adults following LPs. Nevertheless, the management remains the same as for pediatric patients; bed rest for 72 h results typically in full resolution of symptoms/signs and regression of the collection on MR studies.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/0b05db97-d4a5-4b5b-af23-9ab470d0fddf/featured/hero-1782421055783.png","publishDate":"2018-08-22T00:00:00.000Z","doi":"10.4103/sni.sni_476_17","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2018/08/8984/SNI-9-169.pdf"}