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| 篇名 |
Closed Subarachnoid Drainage for Management of Cerebrospinal Fluid Leakage After Lumbar Spinal Operations |
| 作者 |
Der-Yean Wang, Mou-I Chang, Hsien-Te Chang, Chung-Neng Wang, Shih-Cherng Liu, Kuo-Hui Wu, Mou-Zen Lin |
| 卷期/出版年月 |
29卷6期 (1996/12) |
| 頁次 |
479-484 |
| 摘要 |
Between 1990 and 1994, we treated 10 cases of CSF leakage after lumbar spinal operation by closed subarachnoid drainage. The method used for the drainage was a closed catheter system. The shunt was percutaneously inserted into the subarachnoid space in the lumbar region by using a standard epidural set, and advancing the cephalad to the level of Ti/L, interspace. Then the drainage system was connected to a hemovac bag or sterilized IV bottle. It was removed after four or more days. All 10 patients were available for follow-up except for a patient who died from an unrelated cause the third day after insertion of the drainage catheter. The remaining nine patients had resolution of the leakage of cerebrospinal fluid from the wound. During subarachnoid drainage, three patients had transient complaints of headache, nausea and vomiting. One patient had diaphoresis. All were relieved by IV fluid supply. Two patients had evidence of an intradural infection after placement of the catheter, but infection was resolved in both after removal of the catheter and treatment with appropriate antibiotics. There were four cases with infected CSF leakage. Both the infection and the leakage healed after treatment with closed subarachnoid drainage. The results showed that closed subarachnoid drainage, when properly performed and monitored, is a simple and effective non-operative method for treating dural-cutaneous CSF leaks after lumbar spinal operation. |
| 關鍵詞 |
cerebrospinal fluid, leakage, closed subarachnoid drainage. |
| 分類 |
Original Article |
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