Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, New York, United States.
Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, New York, United States; Neurovascular and Stroke Center, Crouse Neuroscience Institute, Syracuse, New York, United States.
Global Spine J. 2016 Feb;6(1):e11-4. doi: 10.1055/s-0035-1550087. Epub 2015 May 6.
Study Design Case report. Objective Temporary external ventricular drainage for refractory thoracolumbar cerebrospinal fluid (CSF) leak is not reported in the literature. We describe a recent case that utilized this technique. Methods Retrospective review of the patient's case notes was performed and the literature on this subject reviewed. Results The patient underwent multiple complex spinal surgeries for resection of innumerable metastatic ependymoma lesions. A case of significant refractory CSF leak developed and as a last resort a right frontal external ventricular drain was placed. The CSF leak ceased, and the patient was eventually discharged home without further complication. Conclusion External ventricular drainage can be a viable option for temporary proximal CSF diversion to treat refractory thoracolumbar CSF leaks.
病例报告。目的：文献中未报道过用于治疗难治性胸腰椎脑脊液（CSF）漏的临时外置脑室引流。我们描述了最近的一个病例，该病例采用了这种技术。方法：对患者的病历进行回顾性分析，并对该主题的文献进行了回顾。结果：患者接受了多次复杂的脊柱手术，以切除无数转移性室管膜瘤病变。出现了一例严重的难治性 CSF 漏，作为最后手段，在右侧额部放置了外置脑室引流管。CSF 漏停止，患者最终出院，没有出现进一步的并发症。结论：外置脑室引流术可作为治疗难治性胸腰椎 CSF 漏的临时近端 CSF 引流的有效选择。
