{"id":"7bc768d7-c9f2-470b-8912-27bbd94d9437","slug":"minimally-invasive-repair-of-a-pseudomeningocele-caused-by-a-sheared-intrathecal-catheter-following-implantation-of-a-drug-delivery-system","title":"Minimally invasive repair of a pseudomeningocele caused by a sheared intrathecal catheter following implantation of a drug delivery system","authors":["S. Raju","P. O. Champagne","L. Walsh","Daniel J. Denis"],"abstract":"Background: Shearing of an intrathecal catheter during implantation of a drug delivery system is an underreported complication that can be challenging to manage. Case Description: A 53-year-old man with refractory cancer pain had an intrathecal pump system implanted. The procedure was complicated with catheter shear and retention in the intrathecal space. A second catheter was successfully placed but formation of a painful pseudomeningocele and ineffective pain relief complicated the outcome. A minimally invasive approach through a tubular retractor was employed to access the spinal canal via a laminotomy, the sheared catheter was removed and the dural defect repaired. Complete resolution of the pseudomeningocele and efficient pain control were observed at follow-up. Conclusion: Minimally invasive approach to the spine is demonstrated as a safe and effective alternative in this case of retained catheter induced cerebrospinal fluid (CSF) leak.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/7bc768d7-c9f2-470b-8912-27bbd94d9437/featured/hero-1782420887591.png","publishDate":"2017-12-06T00:00:00.000Z","doi":"10.4103/sni.sni_279_17","categories":["General Neurosurgery","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2017/12/8697/SNI-8-297.pdf"}