Management of Cerebrospinal Fluid Leakage after Microvascular Decompression Surgery: Clinical Strategy
Abstract
1. Introduction
2. Patients and Methods
3. Results
Illustrative Case
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Total patients | |
Median age, years (range) | 58 (19–82) |
Male:Female | 131:344 |
Left:Right | 223:252 |
Suspected CSF leakage | 18 (3.8%) |
Lumbar drainage catheter insertion | 5 (1.1%) |
Disease | |
Trigeminal neuralgia | 47 (9.9%) |
Hemifacial spasm | 427 (89.9%) |
* Glossopharyngeal neuralgia | 1 (0.0%) |
Trigeminal neuralgia | |
Median age, years (range) | 63.5 (28–80) |
Male:Female | 16:31 |
Left:Right | 17:30 |
Suspected CSF leakage | 1 |
Lumbar drainage catheter insertion | 0 |
Hemifacial spasm | |
Median age, years (range) | 58 (19–82) |
Male:Female | 115:312 |
Left:Right | 227:200 |
Suspected CSF leakage | 17 |
Lumbar drainage catheter insertion | 5 |
Patient No | Sex | Age | Disease | Side | Offending Vessel | Mastoid Air Cell Exposure | Symptom from POD | LD from POD | LD Maintained | Hospital Stay | Symptom Recurrence |
---|---|---|---|---|---|---|---|---|---|---|---|
2021-95 | F | 36 | HFS | R | PICA | + | 2 | - | - | 9 | - |
2021-97 | F | 39 | HFS | R | AICA | + | 2 | 3 | 5 | 13 | - |
2021-106 | M | 69 | HFS | L | AICA-PICA | + | 3 | - | - | 7 | - |
2022-6 | M | 63 | HFS | L | AICA-PICA-VA | + | 5 | 6 | 6 | 15 | - |
2022-22 | F | 30 | HFS | L | AICA-PICA | + | 2 | 3 | 6 | 13 | - |
2022-59 | M | 63 | HFS | L | PICA | + | 3 | - | - | 9 | - |
2022-78 | M | 38 | HFS | R | AICA | + | 6 | 8 | 5 | 19 | - |
2022-91 | F | 77 | TN | R | Vein | + | 3 | - | - | 13 | - |
2022-99 | M | 39 | HFS | L | AICA | + | 3 | - | - | 8 | - |
2022-107 | F | 55 | HFS | R | AICA | + | 4 | - | - | 7 | - |
2022-117 | F | 56 | HFS | L | AICA | + | 4 | - | - | 8 | - |
2022-140 | F | 59 | HFS | R | AICA-VA | + | 5 | 6 | 4 | 14 | - |
2022-144 | M | 47 | HFS | L | AICA-PICA-VA | + | 2 | - | - | 8 | - |
2022-145 | F | 59 | HFS | R | AICA | + | 3 | - | - | 8 | - |
2023-4 | M | 53 | HFS | L | AICA-PICA | + | 3 | - | - | 7 | - |
2023-19 | F | 53 | HFS | R | AICA | + | 3 | - | - | 7 | - |
2023-30 | F | 69 | HFS | L | VA | + | 3 | - | - | 8 | - |
2023-33 | F | 55 | HFS | L | AICA | + | 3 | - | - | 8 | - |
Suspected CSF leakage (N = 18) | |
Median age, years (range) | 55 (30–77) |
Male:Female | 7:11 |
Left:Right | 10:8 |
Symptom from POD | 3.3 (2–6) |
Mastoid air cell opened | 18 (100%) |
Definite CSF leakage (N = 5) | |
Male:Female | 2:3 |
Left:Right | 2:3 |
LD catheter insertion | 5 (100%) |
LD insertion from POD | 5.2 (3–8) |
Maintenance period of LD catheter | 5.2 (4–6) |
Average hospital stay | 14.8 (13–19) |
CSF leakage symptom recurrence | 0 (0.0%) |
Revision operation | 0 (0.0%) |
Intracranial infection | 0 (0.0%) |
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Lee, H.-S.; Cho, K.-R.; Park, K.; Jeon, C. Management of Cerebrospinal Fluid Leakage after Microvascular Decompression Surgery: Clinical Strategy. Life 2023, 13, 1771. https://doi.org/10.3390/life13081771
Lee H-S, Cho K-R, Park K, Jeon C. Management of Cerebrospinal Fluid Leakage after Microvascular Decompression Surgery: Clinical Strategy. Life. 2023; 13(8):1771. https://doi.org/10.3390/life13081771
Chicago/Turabian StyleLee, Hyun-Seok, Kyung-Rae Cho, Kwan Park, and Chiman Jeon. 2023. "Management of Cerebrospinal Fluid Leakage after Microvascular Decompression Surgery: Clinical Strategy" Life 13, no. 8: 1771. https://doi.org/10.3390/life13081771
APA StyleLee, H.-S., Cho, K.-R., Park, K., & Jeon, C. (2023). Management of Cerebrospinal Fluid Leakage after Microvascular Decompression Surgery: Clinical Strategy. Life, 13(8), 1771. https://doi.org/10.3390/life13081771