Midline Shift Induced by the Drainage of Cerebrospinal Fluid in Three Patients With External Decompression.
atmospheric pressure
decompressive craniectomy
kernohan notch
lumbar drainage
paradoxical herniation
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
accepted:
29
08
2023
medline:
2
10
2023
pubmed:
2
10
2023
entrez:
2
10
2023
Statut:
epublish
Résumé
It is not rare that progressive hydrocephalus worsens clinical conditions in a patient with external decompression and drainage or shunt surgery is required. However, spinal drainage or shunt surgeries potentially carry a risk of causing paradoxical herniation in a patient with decompressive craniectomy, particularly in a comatose case with wide craniectomy. Careful and strict observations are necessary for such patients. In our three comatose cases with craniectomy, paradoxical herniation occurred due to excessive drainage after 5-7 days of shunt surgery and lumbar drainage, although the drainage pressure was set at more than 10 cmH
Identifiants
pubmed: 37779764
doi: 10.7759/cureus.44355
pmc: PMC10539714
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e44355Informations de copyright
Copyright © 2023, Yamada et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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