Settepani F, van Dongen Eric P, Schepens Marc A, Morshuis Wim J
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Eur J Cardiothorac Surg. 2003 Oct;24(4):659-61. doi: 10.1016/s1010-7940(03)00446-9.
Cerebrospinal fluid (CSF) drainage is a routinely used adjunct in thoracoabdominal aortic aneurysm (TAAA) surgery which may reduce the incidence of perioperative paraplegia by improving the spinal cord perfusion. However, a small but evident complication rate of lumbar drainage should be considered. We present two rare cases of intracerebellar hematoma possibly due to excessive CSF drainage after TAAA repair.
脑脊液(CSF)引流是胸腹主动脉瘤(TAAA)手术中常用的辅助手段,通过改善脊髓灌注可降低围手术期截瘫的发生率。然而,应考虑腰椎引流存在虽小但明显的并发症发生率。我们报告两例罕见的小脑内血肿病例,可能是由于TAAA修复术后脑脊液引流过多所致。