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.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1213/XAA.0000000000000679 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Arrhythmia Induced by Positional Change Under General Anesthesia Related to Caudal Movement of the Peripherally Inserted Central Venous Catheter: A Case Report.
Case Rep Anesthesiol
December 2024
Department of Anesthesiology, The Jikei University School of Medicine, Tokyo, Japan.
The novel case report of a temporary arrhythmia that developed after a positional change in a patient under general anesthesia emphasizes the possibility of potentially lethal cardiac arrhythmias that may develop owing to caudal movement of the peripherally inserted central venous catheter ([CVC] PICC) tip when changing patient positions. We present a case of temporary arrhythmia that developed after a positional change in a 44-year-old female patient scheduled for laparoscopic adrenalectomy under general anesthesia. She had undergone preoperative insertion of a PICC using an electrocardiogram (ECG)-guided tip confirmation system (TCS).
View Article and Find Full Text PDFCatheter Tip Migration in Female Patients With Breast Cancer: A Retrospective Comparative Study of Right- and Left-Sided Chest Ports.
Breast J
January 2025
Department of Radiology, Cork University Hospital, Cork, Ireland.
Chest ports are typically inserted via the right internal jugular vein with the left side being utilized in certain patient populations. The purpose of this study was to evaluate the dynamic position of the chest port and catheter tip, comparing a demographically matched cohort of female breast cancer patients with right- or left-sided chest ports. 142 female patients with breast cancer requiring chest port insertion for chemotherapy and imaging confirming catheter tip position initially with supine fluoroscopy and follow-up with erect chest radiography over a 5-year period were identified.
View Article and Find Full Text PDFFactors influencing agitation during anesthesia recovery after laparoscopic hernia repair under total inhalation combined with caudal block anesthesia.
World J Gastrointest Surg
November 2024
Department of Anesthesiology, Nanning Tenth People's Hospital, Nanning 530105, Guangxi Zhuang Autonomous Region, China.
Background: Laparoscopic hernia repair is a minimally invasive surgery, but patients may experience emergence agitation (EA) during the post-anesthesia recovery period, which can increase pain and lead to complications such as wound reopening and bleeding. There is limited research on the risk factors for this agitation, and few effective tools exist to predict it. Therefore, by integrating clinical data, we have developed nomograms and random forest predictive models to help clinicians predict and potentially prevent EA.
View Article and Find Full Text PDFCaudal vena cava isolation using ablation index-guided radiofrequency catheter ablation (CARTO™ 3) to treat sustained atrial tachycardia in horses.
J Vet Intern Med
December 2024
Equine Cardioteam Ghent, Department of Internal Medicine, Reproduction and Population Medicine, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Article Synopsis
- The study investigated the use of ablation index-guided radiofrequency catheter ablation (RFCA) to treat atrial tachycardia (AT) in horses, focusing on the caudal vena cava, a common problem area.
- Ten horses with sustained AT underwent three-dimensional electro-anatomical mapping and RFCA, achieving successful isolation of the caudal vena cava and restoring normal heart rhythm in all cases.
- Follow-up showed no recurrence of AT in the horses studied, indicating the method's effectiveness and feasibility for long-term treatment.
Novel Rat Model of Embolic Cerebral Ischemia Using a Radiopaque Blood Clot and a Microcatheter Under Fluoroscopy.
Transl Stroke Res
November 2024
Department of Neurology, The Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-Ku, Tokyo, 105-8461, Japan.
Article Synopsis
- Researchers developed a new rat model of thromboembolic stroke to achieve consistent infarct sizes and locations within the middle cerebral artery (MCA) without needing arterial ligation.
- The model involved using a microcatheter to place a zirconium dioxide blood clot in the artery, and monitoring was done through fluoroscopy over 24 hours.
- The results showed that the blood clot position remained stable in most rats, with a median infarct volume of 242 mm, highlighting the model's potential for testing new stroke treatments.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!