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[Experience of treatment for accumulation of extra-axil cerebrospinal fluid after skull surgery].

Autor(es): Zhao, Jie; Liu, Jingping; Zhang, Zhiping; Li, Jian; Xiao, Gelei; Liao, Xinbin; Jin, Chen
Artigo [ PMID: 25931225 ] Idioma(s):
Publicação: Artigo de Revista
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.