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Table 3 Treatment Response

From: Spinal cerebrospinal fluid leak in the context of pars interarticularis fracture

Patient

Treatment method (epidural patch with fibrin sealant, paramedian approach) a

Treatment response

Pre-treatmentb

Post-treatmentb (3 months post-patch)

1a)

Bilateral L4/L5, right L5/S1

Upright: 3

Upright: 0

Supine: 2

Supine: 0

2

Bilateral L4/L5

Upright: 8

Upright: 4

Supine: 2

Supine: 1

3

Bilateral L4/L5, left L5/S1

Upright: 8

Upright: 2

Supine: 0

Supine: 0

4b)

Bilateral L3/4

Upright: 8

Upright: 4

Supine: 4

Supine: 2

5

Right L4/L5, right L5/L6

Upright: 7

Upright: 3

Supine: 0

Supine: 0

6

Bilateral L5/S1

Upright: 4

Upright: 1

Supine: 3

Supine: 0

  1. a3 ml of fibrin sealant to each site
  2. bPain intensity scale: 0–10, 10 being the most severe
  3. a) At 6 months – suspected rebound intracranial hypertension managed with acetazolamide 250 mg twice daily
  4. b) At 6 months – suspected rebound intracranial hypertension managed with amiloride 10 mg and furosemide 60 mg daily