Surgical Management of Traumatic Cerebrospinal Fluid Fistulas with Associated Lesions

Alagöz, Fatíh; Dağlıoğlu, Ergün; Korkmaz, Murat; Yıldırım, Ali Erdem; Uçkun, Özhan Merzuk; Divanlıoğlu, Denizhan; Polat, Ömer; Dalgıç, Ali; Osun, Arif; Yılmaz, Fevzi; Sönmez, Müge; Belen, Ahmet Deniz

doi:10.5505/tjtes.2015.93236

Cited by 2 publications

(1 citation statement)

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“…They determined the duration of CLD based on the success of the system. Alagöz et al [17] reported 22 patients with traumatic CSF fistula and they performed conservative treatment or CLD in all patients before the surgical repair of the dural defect. In our series, post-traumatic CSF fistula was the cause of CLD in 15.55% of our patients, and the mean duration of CLD was 8.3 days (ranged between five and 12 days).…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Continuous Lumbar Drainage in Posttraumatic CSF Fistulas

Kirik¹

2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: This study aims to investigate the clinical outcomes of patients who underwent closed continuous lumbar drainage (CLD) for post-traumatic cerebrospinal fluid (CSF) fistula and to compare with those of non-traumatic patients. METHODS:The data of patients who were treated in the department of neurosurgery between January 2018 and December 2019 and underwent CLD were analyzed. The diagnosis, demographic characteristics, CSF results and clinical outcomes of these patients were evaluated. The outcomes of the patients with dura defect and CSF fistula due to trauma were compared with patients who underwent CLD for other diagnoses. RESULTS:In this study, 45 patients underwent CLD for 51 times. The mean age was 38.84 years, and 27 (60%) of the patients were male. Seven (15.55%) patients underwent CLD due to post-traumatic CSF fistula and 38 patients after tumor or malformation surgery. While five patients developed CSF fistula due to dura defect after gunshot injury, two patients developed CSF fistula secondary to motor vehicle accident. Staphylococcus Epidermidis was isolated in one patient among post-traumatic CSF fistula patients while Serratia Marcescens was isolated in patients with CSF fistula secondary to posterior fossa tumor surgery. While none of the seven patients died during the follow-up period in post-traumatic group, one of the 38 patients with CLD secondary to tumor surgery was lost due to sepsis in the follow-up period.CONCLUSION: CLD in post-traumatic CSF fistulas is a safe and effective treatment method. Especially in patients with gunshot wounds, CLD should be performed before revision surgery in the treatment of CSF fistula. Studies with different parameters are needed in larger trauma populations.

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Section: Discussionmentioning

confidence: 99%