Duret hemorrhage after lumbar drainage

Xunhui Yuan1, Hongyan Zhao, Cuiling Zhao

  • 1From the *Departments of Neurosurgery, †Finance, Yidu Central Hospital of Weifang, Qing Zhou, Shandong Province, China; ‡Qingzhou Office; §Department of Pharmacy, Yidu Central Hospital of Weifang, Qing Zhou, Shandong Province; and ∥Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Insights

Lumbar drainage can cause severe complications like transtentorial herniations and Duret hemorrhage. Neurosurgeons must consider these risks, especially after thalamic hematoma removal, to prevent fatal outcomes.

Area of Science:

  • Neurosurgery
  • Neurology
  • Critical Care Medicine

Background:

  • Lumbar drainage (LD) is a common procedure for intracerebral hemorrhage with ventricular involvement.
  • Potential complications of LD include cerebrospinal fluid overdrainage and hypovolemia.
  • These complications can lead to severe neurological events such as transtentorial herniation and infratentorial hemorrhage.

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