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创伤性脑脊液漏:诊断与处理

Traumatic Cerebrospinal Fluid Leak: Diagnosis and Management.

作者信息

Oh Ji-Woong, Kim So-Hyun, Whang Kum

机构信息

Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University, Wonju, Korea.

出版信息

Korean J Neurotrauma. 2017 Oct;13(2):63-67. doi: 10.13004/kjnt.2017.13.2.63. Epub 2017 Oct 31.

Abstract

Cerebrospinal fluid (CSF) leaks are one of the common complications after traumatic brain injuries (TBI). The risks of CSF leaks can be detrimental to the outcomes of the patients. Early diagnosis and proper management is imperative for it is strongly associated with a better long-term prognosis of the patients. Diagnostic tools for CSF leaks are still under debate. Nevertheless, many reports of successful treatments for CSF leaks have been published with introduction of various repair techniques for leakage sites even though it is surgically challenging. Hereby, we review about the pathophysiology, manifestations as well as the update of the clinical diagnosis and current management of CSF leaks.

摘要

脑脊液漏是创伤性脑损伤(TBI)后的常见并发症之一。脑脊液漏的风险可能对患者的预后产生不利影响。早期诊断和恰当处理至关重要,因为这与患者更好的长期预后密切相关。脑脊液漏的诊断工具仍存在争议。尽管如此,尽管脑脊液漏的手术修复具有挑战性,但随着各种漏口修复技术的引入,已有许多关于脑脊液漏成功治疗的报道发表。在此,我们综述脑脊液漏的病理生理学、表现以及临床诊断和当前治疗的最新进展。

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