Leakage From Spinal Incision With Headaches

Consult Page

55F s/p spine surgery with leakage from wound and headaches

Initial Imaging

Walking Thoughts

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  What surgery did the patient have? When was the patient’s surgery?

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  Were there any complications? Was there a durotomy or a cerebrospinal fluid (CSF) leak noted during surgery?

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  What was her postoperative course? When and where did she discharge to?

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  What is the patient’s baseline neurological function, and what was her function after surgery?

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  What is her current neurological exam?

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  How much leakage is coming from the wound? What is the color and consistency?

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  Does the patient have risk factors for poor wound healing?

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  Are the patient’s headaches positional or do they have any other characteristics?

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  Does the patient have any signs of infection?

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  Does this patient need to go to the operating room, and if so, when?

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  Is the patient on any anticoagulant or antiplatelet medications?