Background and Objectives: Cerebrospinal fluid cutaneous fistulae are rare complications of neuraxial needle procedures. Case Report: We present the first reported case of a persistent cerebrospinal fluid cutaneous fistula in a child who underwent epidural analgesia. Careful assessment and circumspect treatment of this cerebrospinal fluid cutaneous fistula led to an excellent outcome in this child. Conclusions: Assessment can be challenging in young children, and guidelines for management are absent. Technical issues in treatment are discussed in addition to pitfalls in diagnosis in young children. © 2008 American Society of Regional Anesthesia and Pain Medicine.
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