CONTINUOUS SPINAL DRAINAGE IN THE TREATMENT OF POSTOPERATIVE CEREBROSPINAL-FLUID FISTULAE.

@article{Aitken1964CONTINUOUSSD,
  title={CONTINUOUS SPINAL DRAINAGE IN THE TREATMENT OF POSTOPERATIVE CEREBROSPINAL-FLUID FISTULAE.},
  author={R R Aitken and Charles G. Drake},
  journal={Journal of neurosurgery},
  year={1964},
  volume={21},
  pages={
          275-7
        }
}
T HE development of a cerebrospinal-fluid fistula within the dural envelope of the nervous system after an operation creates a dangerous situation. Surface pathogens or established infection of the wound may gain quick entrance to the leptomeningeal spaces, and patient and surgeon are faced with the grave consequences of an established leptomeningitis or cerebritis. Postoperative cerebrospinal-fiuid fistulae are fortunately unusual since very early in the development of operations on the… 
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17 Citations

17 Citations

Citation Type

Citation Type

Complications of Lumbar Spinal Fluid Drainage
TLDR
A retrospective chart review of 32 consecutive patients who required placement of lumbar drain by the otorhinolaryngology and neurosurgical services from March 1988 through July 1991 was undertaken to assess possible complications, demonstrating the possibility of potentially serious complications that mandate close monitoring of patients who require continuousLumbar drainage.
Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention of cranial/spinal cerebrospinal fluid fistula.
TLDR
The silicone catheter appears superior to the teflon catheter; however, both are simple, safe, and efficacious for the treatment or prevention of CSF fistulas.
Trans-sphenoidal treatment of postsurgical cerebrospinal fluid fistula: CT-guided closure
TLDR
CT-guided intrasphenoidal injection of fibrin sealant through a 12-gauge needle is suggested as a simple alternative to surgical management of CSF fistulae and preserves olfaction and avoids the risk of frontal lobe damage.
Anterior dural laceration caused by thoracolumbar and lumbar burst fractures.
TLDR
In patients with anterior dural laceration, primary repair is warranted and can be performed more easily after intraoperative correction of kyphosis and subarachnoid drainage may be effective in cases of continued postoperative anterior cerebrospinal fluid leakage before repeated operation is considered.
[Value of continuous spinal drainage in normal pressure hydrocephalus and secondary communicating hydrocephalus].
TLDR
The authors would like to name the treatable secondary hydrocephalus as the “Adams-Hakim's syndrome”, and to classify it into the low pressure type, normal Pressure type, and high pressure type.
Closed continuous drainage of cerebrospinal fluid via lumbar subarachnoid catheter for treatment or prevention of cranial/spinal cerebrospinal fluid fistula.
TLDR
Overall, the drain was successful in achieving the desired goal in 101 of 107 (94%) cases.
Treatment of postoperative cerebrospinal fluid fistulas by subarachnoid drainage.
✓ The authors report the details of the successful treatment of 11 of 12 patients with postoperative cerebrospinal fluid fistulas. Continuous lumbar or ventricular fluid drainage was used.
Simple management of cerebrospinal fluid rhinorrhea after pituitary surgery.
A shunting procedure for cerebrospinal fluid fistula, employing cannulation of the third and fourth ventricles.
TLDR
A modified third/fourth ventriculoperitoneal shunt was used to deal with postoperative cerebrospinal fluid fistulae refractory to treatment by simpler routine measures.
Liquorrhoea, a review of 66 cases
TLDR
In more than half of the 66 patients the onset of liquorrhoea was delayed more than one month after the head trauma, andAntibiotic prophylaxis to all skull base fractures therefore is questioned.
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References

Continuous cerebrospinal fluid drainage by indwelling spinal catheter.
  • G. Vourc'h
  • Medicine
    British journal of anaesthesia
  • 1963
A technique is described of cerebrospinal fluid drainage utilizing an indwelling spinal catheter. This allows continuous drainage and reduction of pressure and brain volume in neurosurgical…