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Keimyung Medical Journal 2011;30(2):191-197.
Intracranial Hypotension Following Lumbar Drainage
Intracranial Hypotension Following Lumbar Drainage
Ealmaan Kim
Abstract
Lumbar drainage (LD) is a technique that is widely used to prevent cerebrospinal fluid (CSF) leakage following cranial base surgery. Intracranial hypotension (ICH) syndrome with severe neurological symptoms; which is a complication of LD; is a rarely observed entity. In this paper; we present the case of a 51-year-old woman with pituitary macroadenoma; who developed severe ICH after LD and required lumbar intrathecal saline infusion (LISI) in order to reverse the acute obtundation immediately. LISI may be a life-saving intervention in patients with cerebral herniation and coma resulting from CSF depletion secondary to LD that is refractory to conventional treatment modalities.
Key Words: Cerebrospinal fluid leakage, Intracranial hypotension, Intrathecal lumbar infusion, Lumbar drain
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