요추배액술로 인한 두개내압 저하 증후군

• 영문명: Intracranial hypotension syndrome as a potential risk of lumbar drainage
• 발행기관: 대한두개저학회
• 저자명: 권민용(Min-Yong Kwon) 김일만(Ealmaan Kim)
• 간행물 정보: 『대한두개저학회지』제9권 제2호, 36~40쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2014.12.30

영문 초록

Lumbar drainage (LD) is a widely used procedure for the patients who underwent cranial base surgery to prevent cerebrospinal fluid (CSF) leaks. An excess of CSF drainage can result in intracranial hypotension (ICH) characterized by postural headache and acute neurological deterioration. In this report, the authors illustrate a case of 51-year-old man who developed ICH syndrome following middle fossa approach and LD. This patient received lumbar epidural patching with autologous blood. With a high index of suspicion, the skull base surgeon should recognize this rare complication of LD that can be reversed by a minimally invasive procedure.

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키워드

blood patch cerebrospinal fluid leak intracranial hypotension lumbar drainage