Aoki N
Department of Neurosurgery, Tokyo Metropolitan Fuchu Hospital, Japan.
Acta Neurochir (Wien). 1989;98(1-2):32-4. doi: 10.1007/BF01407173.
Ten patients with postoperative collection of subcutaneous cerebrospinal fluid (pseudomeningocoele) refractory to nonsurgical treatment underwent lumboperitoneal (LP) shunt. In all patients rapid resolution of the subcutaneous collection was achieved, and no recurrence was observed during the follow-up period. Complications of the LP shunt included transient sciatica in one patient, and acute subdural haematoma after a mild head trauma in another patient who had had a subdural fluid collection. A LP shunt proved to be a less invasive and reliable method of treatment for this condition when it fails to resolve despite aspiration of cerebrospinal fluid combined with mechanical compression of the wound. However, in cases with subdural fluid collection, early withdrawal of the LP shunt may be recommended.
10例经非手术治疗无效的术后皮下脑脊液积聚（假性脑脊膜膨出）患者接受了腰大池-腹腔（LP）分流术。所有患者皮下积液均迅速消退，随访期间未观察到复发。LP分流术的并发症包括1例患者出现短暂性坐骨神经痛，另1例曾有硬膜下积液的患者在轻度头部外伤后发生急性硬膜下血肿。当脑脊液抽吸联合伤口机械压迫仍无法解决这种情况时，LP分流术被证明是一种侵入性较小且可靠的治疗方法。然而，对于有硬膜下积液的病例，可能建议早期拔除LP分流管。
