Experience of treatment for accumulation of extra-axil cerebrospinal fluid after skull surgery.
10.11817/j.issn.1672-7347.2015.04.018
- Author:
Jie ZHAO
1
;
Jingping LIU
;
Zhiping ZHANG
;
Jian LI
;
Gelei XIAO
;
Xinbin LIAO
;
Chen JIN
Author Information
1. Division of Pediatric Neurosurgery, Center for Hydrocephalus Diagnosis and Treatment, Xiangya Hospital, Central South University, Changsha 410078, China.
- Publication Type:Journal Article
- MeSH:
Cerebrospinal Fluid Shunts;
Humans;
Pinealoma;
cerebrospinal fluid;
surgery;
Postoperative Period;
Retrospective Studies;
Skull;
surgery
- From:
Journal of Central South University(Medical Sciences)
2015;40(4):446-452
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the treatment and pathophysiology of extra-axil cerebrospinal fluid accumulation aft er skull surgery.
METHODS:The treatment of 46 cases of pineal regional tumor was retrospectively studied.
RESULTS:The CT showed that all patients had postoperative extra-axil cerebrospinal fluid accumulation in 6 hours after operation. 5 cases displayed symptomatic accumulation of extra-axil cerebrospinal fluid. 1 died 30 days aft er discharge, 4 performed S-P shunt and 3 of them switched to V-P shunt after S-P shunt failed.
CONCLUSION:Much more attention should be paid to postoperative accumulation of extra-axil cerebrospinal fluid. Both V-P and S-P are the effective strategies of therapy.