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A common way to deliver anesthesia for surgery and childbirth is to inject the a

ID: 174568 • Letter: A

Question


A common way to deliver anesthesia for surgery and childbirth is to inject the anesthetic agent into the epidural space (epicural anestbesia). A possible complication of this procedure is a tear in the dura mater that causes CSF to leak out of the central nervous system. Why would a loss of cerebrospinal fluid be problematic? What symptoms do you predict with this condition During a procedure called a lumbar puncture, CSF grounding the meninges is withdrawn with a needle. This procedure generally is performed between L3 and 1.5. Why do you think the fluid is withdrawn here rather than from higher up in the vertebral column (e. g., the cervical vertebrae)? Often, the sampled CSF is tested for bacteria of viruses if a brain infection is suspected. Why would CSF sampled from the spinal cord give you infromation about the condition of the brain?

Explanation / Answer

4. Cerebrospinal fluid (CSF) is the fluid present inside the skull, it is the fluid which protects the brain and acts like a cushion to brain. When CSF leaks out out it causes the brain to sag inside the skull and can lead to intracranial hypotension. Patient will show symptom of severe headache when in upright position along with neck stiffness and pain, nausea and vomiting.

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