Gökce Ismail Kürşad, Turgut Hatice, Ozdemir Ramazan, Onal Selami Cagatay
1Department of Pediatrics, Division of Neonatology, and.
2Department of Neurosurgery, Inonu University School of Medicine, Turgut Ozal Medical Center, Battalgazi, Malatya, Turkey.
J Neurosurg Pediatr. 2018 Jun;21(6):597-600. doi: 10.3171/2017.11.PEDS17386. Epub 2018 Mar 9.
Cerebrospinal fluid leakage following meningomyelocele surgery is a frequent complication in the wound-healing period and is associated with wound dehiscence. CSF loss can cause severe hyponatremia, especially in the newborn and early infancy periods when dietary sodium content is relatively low. Hyponatremia in the newborn period can result in adverse neurodevelopmental outcomes. In addition, hyponatremia's cerebral effects can increase complications in neurosurgery patients. The authors present the case of a newborn in whom CSF leakage from the operative site and severe hyponatremia developed following meningomyelocele surgery. To the best of their knowledge, severe hyponatremia caused by CSF leakage after meningomyelocele surgery has not been previously reported in the literature.
脊髓脊膜膨出手术后脑脊液漏是伤口愈合期常见的并发症,且与伤口裂开有关。脑脊液流失可导致严重低钠血症,尤其是在新生儿期和婴儿早期,此时饮食中的钠含量相对较低。新生儿期低钠血症可导致不良的神经发育结局。此外,低钠血症对大脑的影响会增加神经外科患者的并发症。作者介绍了一例新生儿病例,该患儿在脊髓脊膜膨出手术后出现手术部位脑脊液漏和严重低钠血症。据他们所知,此前文献中尚未报道过脊髓脊膜膨出手术后脑脊液漏导致严重低钠血症的情况。