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Management of Cerebrospinal Fluid Leakage after Microvascular Decompression Surgery: Clinical Strategy – Lumbar Spinal Stenosis

The article discusses the importance of early recognition and treatment of cerebrospinal fluid (CSF) leakage as a complication of microvascular decompression (MVD) surgery. The study retrospectively analyzed the clinical data of 475 patients who underwent MVD surgery and found that 3.8% of them showed symptoms of CSF leakage. Out of these patients, 1.1% underwent catheter insertion for lumbar drainage after signs of CSF leakage were observed during conservative management. The lumbar drain was removed after an average of 5.2 days, and all 5 patients recovered without the need for reoperation. The study concludes that close observation of symptoms, along with postoperative imaging and audiometry, is crucial for evaluating patients, and immediate lumbar drainage should be performed if CSF leakage is confirmed

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

(1) Background: Cerebrospinal fluid (CSF) leakage is one of the most common complications of microvascular decompression (MVD) surgery. Before fatal complications, such as intracranial infection, occur, early recognition and prompt treatment are essential. (2) Methods: The clinical data of 475 patients who underwent MVD surgery from September 2020 to March 2023 were retrospectively analyzed. In these patients, if there were any symptoms of CSF leakage, and if CSF leakage was evident, a lumbar…

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Life (Basel). 2023 Aug 18;13(8):1771. doi: 10.3390/life13081771.ABSTRACT(1) Background: Cerebrospinal fluid (CSF) leakage is one of the most common complications of microvascular decompression (MVD) surgery. Before fatal complications, such as intracranial infection, occur, early recognition and prompt treatment are essential. (2) Methods: The clinical data of 475 patients who underwent MVD surgery from September 2020 to,

Life (Basel). 2023 Aug 18;13(8):1771. doi: 10.3390/life13081771.

ABSTRACT

(1) Background: Cerebrospinal fluid (CSF) leakage is one of the most common complications of microvascular decompression (MVD) surgery. Before fatal complications, such as intracranial infection, occur, early recognition and prompt treatment are essential. (2) Methods: The clinical data of 475 patients who underwent MVD surgery from September 2020 to March 2023 were retrospectively analyzed. In these patients, if there were any symptoms of CSF leakage, and if CSF leakage was evident, a lumbar drainage catheter was inserted immediately. (3) Results: CSF leakage was suspected in 18 (3.8%) patients. Five of these patients (1.1%) showed signs of CSF leakage during conservative management and subsequently underwent catheter insertion for lumbar drainage. The lumbar drain was removed after an average of 5.2 days, resulting in an average hospitalization of 14.8 days. In all 5 patients, CSF leakage was resolved without reoperation. (4) Conclusions: Our treatment strategy prevented the development of fatal complications. Close observation of the symptoms and postoperative temporal bone computed tomography and audiometry are considered to be good evaluation methods for all patients. If CSF leakage is certain, it is important to perform lumbar drainage immediately.

PMID:37629628 | DOI:10.3390/life13081771

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Management of Cerebrospinal Fluid Leakage after Microvascular Decompression Surgery: Clinical Strategy

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Life (Basel). 2023 Aug 18;13(8):1771. doi: 10.3390/life13081771.ABSTRACT(1) Background: Cerebrospinal fluid (CSF) leakage is one of the most common complications of microvascular decompression (MVD) surgery. Before fatal complications, such as intracranial infection, occur, early recognition and prompt treatment are essential. (2) Methods: The clinical data of 475 patients who underwent MVD surgery from September 2020 to
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