Department of Neurosurgery, Gillette Children's Hospital, St. Paul, MN, USA.
Department of Neurosurgery, National Brain Aneurysm & Tumor Center, St. Paul, MN, USA.
Br J Neurosurg. 2023 Dec;37(6):1915-1917. doi: 10.1080/02688697.2021.1903392. Epub 2021 Mar 29.
Cerebrospinal fluid (CSF) leakage is a common complication after neuroendoscopic surgery through a burr hole and can lead to further complications including infection.
We describe the use of a dural substitute larger than the burr hole itself, placed over the burr hole and then secured underneath a burr hole cover by microscrews running through the graft itself into the underlying skull.
This simple technical modification contributes to achieving a watertight seal to aid in preventing CSF leakage in this setting.
Our technical modification of endoscopy through a burr hole may help to prevent postoperative CSF leak and secondary CSF infections.
经颅骨钻孔神经内镜手术后，脑脊液（CSF）漏是一种常见的并发症，可导致进一步的并发症，包括感染。
我们描述了使用大于颅骨钻孔本身的硬脑膜替代物，放置在颅骨钻孔上方，然后通过微螺丝将其固定在颅骨钻孔盖下方，微螺丝穿过移植物本身进入下面的颅骨。
这种简单的技术改进有助于实现密封，以帮助防止这种情况下的 CSF 漏。
我们对颅骨钻孔内镜的技术改进可能有助于防止术后 CSF 漏和继发性 CSF 感染。
