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THE SECOND SAC

A COMPLICATING FACTOR IN REGIMENS BASED ON INTRATHECAL MEDICATIONS

EDWARD E. ROGOFF , MICHAEL D. F. DECK , and GIULIO D’ANGIO

A second sac caused by leakage of cerebrospinal fluid into the subdural space is a frequent consequence when multiple lumbar punctures are performed for either diagnostic or therapeutic reasons.

Means for recognition and prevention of the second sac are described.

The delivery of intrathecal medications into the subdural space can have untoward effects. These are discussed and exemplified.


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