Cerebrospinal fluid drainage in the management of CSF leak following acoustic neuroma surgery

被引:73
作者
Fishman, AJ [1 ]
Hoffman, RA [1 ]
Roland, JT [1 ]
Lebowitz, RA [1 ]
Cohen, NL [1 ]
机构
[1] NYU,MED CTR,DEPT OTOLARYNGOL,NEW YORK,NY 10016
关键词
D O I
10.1097/00005537-199608000-00017
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 [基础医学];
摘要
A retrospective analysis was performed on 174 patients operated on from 1992 to 1995 to evaluate the safety and efficacy of continuous lumbar cerebrospinal fluid drainage (CLCFD) in the management of cerebrospinal fluid (CSF) leaks following acoustic neuroma surgery. There was a 17% incidence of CSF leak, CLCFD stopped the leak in 87% of cases. There were no cases of meningitis associated with CLCFD. One deep vein thrombosis was treated without sequelae, It is concluded that CLCFD is safe and efficacious. The authors recommend that CLCFD be implemented immediately when indicated, foregoing a trial of conservative therapy. Indications and precautions are discussed.
引用
收藏
页码:1002 / 1004
页数:3
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