Experience of treatment for accumulation of extra-axil cerebrospinal fluid after skull surgery / 中南大学学报(医学版)

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.