Can J Anesth/J Can Anesth (2017) 64:983–984 DOI 10.1007/s12630-017-0916-y CO RRESP ON DENC E Epidural blood patch treatment for headache caused by a ruptured Tarlov cyst . . Fatemah Qasem, MBBCh, MD Charlotte McCallum, ACNP, GDipNPAC Paidrig Armstrong, MD, FRCPC Received: 3 April 2017 / Revised: 31 May 2017 / Accepted: 14 June 2017 / Published online: 19 June 2017 Canadian Anesthesiologists’ Society 2017 To the Editor, 48 hr later, her symptoms remained. Following a Tarlov cysts are cerebrospinal ﬂuid (CSF)-containing multidisciplinary discussion – with input from neurology, nerve root cysts that arise between the perineurium and the radiology, and anesthesia – the collaborative conclusion endoneurium near the dorsal root ganglion. They are found was that the patients’ headache was due to a ruptured most often in the sacral roots and, rarely, cause symptoms Tarlov cyst, and some relief might result from an epidural related to nerve root compression. The literature is limited blood patch (EBP). The radiological opinion was that the when it comes to the management of these ruptured cysts. S1-S3 nerve roots were the most likely site of the CSF leak. We recently treated a previously healthy 24-yr-old Following the patient’s consent, pre-procedural woman (who consented
Canadian Journal of Anesthesia/Journal canadien d'anesthésie – Springer Journals
Published: Jun 19, 2017
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