Delayed absence seizure: a complication of intrathecal fluorescein injection. A case report and literature review

Auris Nasus Larynx. 2007 Dec;34(4):515-8. doi: 10.1016/j.anl.2006.09.012. Epub 2006 Oct 19.

Abstract

Intrathecal fluorescein injection has a long history of use by surgeons to determine the exact site of a cerebrospinal fluid (CSF) leak from the skull base. This method, however accurate, is not without complications. We present a case of grand mal and absence seizure after intrathecal fluorescein injection and discuss the possible aetiological factors. We also review the articles in the diagnostic methods for the CSF rhinorrhoea and the complications of the intrathecal fluorescein injection.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anesthesia, General
  • Cerebrospinal Fluid Rhinorrhea / diagnosis*
  • Cerebrospinal Fluid Rhinorrhea / surgery
  • Contrast Media / administration & dosage
  • Contrast Media / adverse effects*
  • Craniotomy
  • Endoscopy
  • Epilepsy, Absence / chemically induced*
  • Epilepsy, Absence / diagnosis
  • Epilepsy, Tonic-Clonic / chemically induced*
  • Epilepsy, Tonic-Clonic / diagnosis
  • Ethmoid Bone / pathology
  • Ethmoid Bone / surgery
  • Female
  • Fluorescein / administration & dosage
  • Fluorescein / adverse effects*
  • Humans
  • Injections, Spinal
  • Meningeal Neoplasms / surgery*
  • Meningioma / surgery*
  • Meningitis / chemically induced
  • Meningitis / diagnosis
  • Middle Aged
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / surgery
  • Skull Base / surgery

Substances

  • Contrast Media
  • Fluorescein