Is the CSF leaking out of the skin
How did this tract develop so easily
How long was the catheter insitu
I think you now have a subarachnoid - cutaneous fistula. Through this tract CSF has a continuous channel to come out and so conversely infection must have a continuous channel to get in.
Very scary thought.
I have never heard of anything like this.
but 2 previous surgeries would have made the dura scared, fibrosed and incapable of further healing. The same may be true for all the ligaments and subcutaneous tissue.
I would get a neurosurgeon consult and explore the options of surgical closure of the tract.
Broad spectrum antibiotics till then
My 2 bits on the problem
but do keep me posted on how you all managed this rare, but really scary problem
regs
How did this tract develop so easily
How long was the catheter insitu
I think you now have a subarachnoid - cutaneous fistula. Through this tract CSF has a continuous channel to come out and so conversely infection must have a continuous channel to get in.
Very scary thought.
I have never heard of anything like this.
but 2 previous surgeries would have made the dura scared, fibrosed and incapable of further healing. The same may be true for all the ligaments and subcutaneous tissue.
I would get a neurosurgeon consult and explore the options of surgical closure of the tract.
Broad spectrum antibiotics till then
My 2 bits on the problem
but do keep me posted on how you all managed this rare, but really scary problem
regs