Clinical Experience of 780 Cases of Postoperative ICP Monitoring

Miyasaka, Yoshio; Morii, Seiji; Ohwada, Takashi; Yada, Kenzoh

doi:10.1007/978-3-642-70971-5_133

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…Monitoring of ICP in the postoperative period is routine in some units, but most of the published data from these patients refer to heterogenous groups of patients mostly with supratentorial pathology. 9 Beks et al 10 studied 86 patients, and most had a rise in ICP from 0 to 5 mm Hg in the immediate postoperative period to a mean of 8 to 15 mm Hg that persisted through the rest of the 4-day monitoring period. In only 14 patients was there an increase in ICP above 35 mm Hg.…”

Section: Postoperative Icp Monitoringmentioning

confidence: 99%

A Study of Perioperative Lumbar Cerebrospinal Fluid Pressure in Patients Undergoing Acoustic Neuroma Surgery

Laing¹,

Śmielewski²,

Czosnyka³

et al. 2000

Skull Base

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An important complication of acoustic neuroma surgery is the development of a CSF fistula. A fistula is a potentially life-threatening complication and results in a fivefold increase in the incidence of meningitis.' The incidence of CSF rhinorrhea or CSF leakage from the wound is approximately 15% in most major series and does not differ significantly between the translabyrinthine and retrosigmoid (suboccipital) approaches.The usual path of CSF rhinorrhea following translabyrinthine surgery is from the posterior fossa dural defect into the middle ear cavity. After retrosigmoid tumor excision CSF can leak from the cerebellopontine angle into air cells that have been opened in the posterior internal auditory canal wall.2 CSF can also leak through the dural repair into the mastoid air cells and into the middle ear. A wound leak results from a direct communication between the skin and the posterior fossa. In order to prevent the development of CSF fistula, surgeons have relied on meticulous wound closure and postoperative CSF drainage.3 179 Skull

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Section: Postoperative Icp Monitoringmentioning

confidence: 99%