ArticleCureus2024
Cerebrospinal Fluid Leak Secondary to Whiplash Injury.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although rare, cerebrospinal fluid (CSF) leaks can prove to be detrimental if severe. Usually secondary to dural punctures, CSF leaks can present as severe headaches, neck pain, blurry vision, confusion, and nausea. However, patients can also be asymptomatic. Due to the rarity and variability in symptom presentation, the diagnosis of these leaks is often missed. We present a case of a 15-year-old female who had been experiencing severe headaches after she hyperextended her neck during a horseback ride. On diagnostic imaging, a CT myelogram confirmed a CSF leak with contrast extravasation along the left T9 nerve root up to the T3-T4 levels. After confirmation, the patient received an epidural blood patch, with 15 ml of autologous blood injected into the epidural space. After the procedure, the patient experienced significant symptomatic relief, resulting in an 80% improvement in her pain scale. Our case demonstrates how a prompt and accurate diagnosis of a CSF leak can optimize patient outcomes.
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