[논문]Burr Hole Drainage : Could Be Another Treatment Option for Cerebrospinal Fluid Leakage after Unidentified Dural Tear during Spinal Surgery?

Huh, Jisoon

doi:10.3340/jkns.2013.53.1.59

[국내논문] Burr Hole Drainage : Could Be Another Treatment Option for Cerebrospinal Fluid Leakage after Unidentified Dural Tear during Spinal Surgery? 원문보기

Journal of Korean Neurosurgical Society = 대한신경외과학회지, v.53 no.1, 2013년, pp.59 - 61

Huh, Jisoon (Department of Neurosurgery, Jeju National University Hospital, Jeju National University School of Medicine)

Abstract ▼ AI-Helper

Authors report a rare case of acute intracranial subdural and intraventricular hemorrhage that were caused by intracranial hypotension resulted from cerebrospinal fluid leakage through an unidentified dural tear site during spinal surgery. The initial brain computed tomography image showed acute hemorrhages combined with preexisting asymptomatic chronic subdural hemorrhage. One burr hole was made over the right parietal skull to drain intracranial hemorrhages and subsequent drainage of cerebrospinal fluid induced by closure of the durotomy site. Among various methods to treat cerebrospinal fluid leakage through unidentified dural injury site, primary repair and spinal subarachnoid drainage are well known treatment options. The brain imaging study to diagnose intracranial hemorrhage should be taken before selecting the treatment method, especially for spinal subarachnoid drainage. Similar mechanism to its spinal counterpart, cranial cerebrospinal fluid drainage has not been mentioned in previous article and could be another treatment option to seal off an unidentified dural tear in particular case of drainage of intracranial hemorrhage is needed.

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제안 방법

The patient underwent decompressive laminectomies and lumbosacral arthrodesis at the corresponding levels. During the operation, dural injury and CSF leakage in the surgical field were not evident.

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