Management of Post-Craniotomy Persistent CSF Subgaleal Collection in Skull Base Procedures: Local Experience

• 作者: Ahmed Nageeb Taha Hosam Shata Mahmoud Saad
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: Subgaleal CSF POST-OPERATIVE DURAL Repair CRANIOTOMY
• 年，卷（期）: 2020,（1）
• 页码范围: 114-121
• 页数: 8页
• 分类号: R73

摘要

Background: Post-craniotomy CSF collection is a problem that may cause severe complications as meningitis, wound disruption, prolonged hospitalization, and additional surgeries. Objective: To evaluate our cases with resistant post-operative subgaleal CSF collection, trying to identify causes and optimal management. Methods: Retrospective review of elective skull base cases during the period of January 2104 to January 2019 identification of cases with post-operative CSF subgaleal collection, which either managed conservatively or needed a second surgery. Results: 219 patients, 30 of them suffered subgaleal CSF collection, 22 patients improved with non-operative measures, eight patients needed second surgery with pericranial graft augmentation, and obliteration of subgaleal space resulted in resolution of CSF leak with no morbidities. Conclusion: Meticulous tensionless dural closure, obliteration of subgaleal space, tethering of dural grafts to bone edges are useful techniques in preventing post-operative CSF leak.