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Cerebrospinal Fluid Drainage in the Management of CSF Leak Following Acoustic Neuroma Surgery
Author(s) -
Fishman Andrew J.,
Hoffman Ronald A.,
Roland J. Thomas,
Lebowitz Richard A.,
Cohen Noel L.
Publication year - 1996
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199608000-00017
Subject(s) - medicine , cerebrospinal fluid , leak , cerebrospinal fluid leak , surgery , acoustic neuroma , incidence (geometry) , thrombosis , meningitis , deep vein , physics , optics , environmental engineering , engineering
A retrospective analysis was performed on 174 patients operated on from 1992 to 1995 to evaluate the safety and efficacy of continuous lumbar cerebrospinal fluid drainage (CLCFD) in the management of cerebrospinal fluid (CSF) leaks following acoustic neuroma surgery. There was a 17% incidence of CSF leak. CLCFD stopped the leak in 87% of cases. There were no cases of meningitis associated with CLCFD. One deep vein thrombosis was treated without sequelae. It is concluded that CLCFD is safe and efficacious. The authors recommend that CLCFD be implemented immediately when indicated, foregoing a trial of conservative therapy. Indications and precautions are discussed.