使用大口径取芯针经分流管穿刺导致脑脊液过度引流：一例报告。
Cerebral spinal fluid overdrainage from shunt tap using large bore coring needle: A case report.
作者信息
Huang Shiwei, Guillaume Daniel
机构信息
Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota, United States.
出版信息
Surg Neurol Int. 2022 Dec 23;13:592. doi: 10.25259/SNI_808_2022. eCollection 2022.
BACKGROUND
Tapping a ventriculoperitoneal shunt percutaneously using a coring needle, such as a butterfly needle, is a common neurosurgical practice despite manufacturers' recommendation to use a Huber type non-coring needle.
CASE DESCRIPTION
A 26-year-old woman, with congenital hydrocephalus and history of multiple shunt revision and shunt taps, presented with symptoms consistent with intracranial hypotension. During her shunt revision, cerebrospinal fluid (CSF) was found to be leaking from her shunt reservoir defects which were believed to be caused by prior shunt taps. An study duplicated this finding in which several areas of leak were observed from the valve tapped using the coring needle, while none was observed from the valve tapped using the non-coring needle.
CONCLUSION
Taping a shunt using a coring needle can damage the shunt reservoir and cause CSF overdrainage.
背景
尽管制造商建议使用休伯型非穿刺针，但使用穿刺针（如蝶形针）经皮穿刺脑室腹腔分流管是一种常见的神经外科操作。
病例描述
一名26岁女性，患有先天性脑积水，有多次分流管修复和分流管穿刺史，出现了与颅内低压相符的症状。在她的分流管修复过程中，发现脑脊液从分流管储液囊缺损处漏出，据信这是由先前的分流管穿刺引起的。一项研究重复了这一发现，其中观察到使用穿刺针对阀门进行穿刺的几个部位出现渗漏，而使用非穿刺针穿刺的阀门未观察到渗漏。
结论
使用穿刺针穿刺分流管会损坏分流管储液囊并导致脑脊液过度引流。
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