Weinand M E, Oommen K J
Department of Surgery, University of Arizona College of Medicine, Tucson.
Seizure. 1993 Jun;2(2):133-6. doi: 10.1016/s1059-1311(05)80117-7.
We performed this study to determine the efficacy of continuous lumbar cerebral spinal fluid (CSF) drainage in controlling CSF leak during subdural strip electrode monitoring of epilepsy patients. Subdural strip electrodes were placed in 14 patients. In seven patients, a lumbar sub-arachnoid catheter was placed for continuous CSF drainage. In seven patients, no lumbar drain was placed. The duration of scalp CSF leak during strip electrode monitoring was significantly reduced in patients undergoing lumbar CSF drainage compared to those without lumbar drains (chi 2 = 40.9, P < 0.05). In one patient spinal headache developed which resolved with lumbar drain removal. Lumbar drainage eliminates scalp CSF leakage and can improve patient comfort. This technique should be further studied to determine if it reduces infection risk during long-term invasive monitoring.
我们开展这项研究以确定在癫痫患者硬膜下条形电极监测期间持续腰椎脑脊液（CSF）引流在控制脑脊液漏方面的疗效。对14例患者放置了硬膜下条形电极。其中7例患者放置了腰蛛网膜下腔导管以进行持续脑脊液引流。另外7例患者未放置腰引流管。与未进行腰引流的患者相比，进行腰脑脊液引流的患者在条形电极监测期间头皮脑脊液漏的持续时间显著缩短（χ2 = 40.9，P < 0.05）。有1例患者出现了脊柱性头痛，在拔除腰引流管后得以缓解。腰引流可消除头皮脑脊液漏并能提高患者舒适度。应进一步研究该技术以确定其是否能降低长期侵入性监测期间的感染风险。
