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Updated: Apr 13, 2026

Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
[Experience of treatment for accumulation of extra-axil cerebrospinal fluid after skull surgery]
Jie Zhao1, Jingping Liu, Zhiping Zhang
1Division of Pediatric Neurosurgery, Center for Hydrocephalus Diagnosis and Treatment, Xiangya Hospital, Central South University, Changsha 410078, China.
Objective:
To explore the treatment and pathophysiology of extra-axil cerebrospinal fluid accumulation aft er skull surgery.
Methods:
The treatment of 46 cases of pineal regional tumor was retrospectively studied.
Results:
The CT showed that all patients had postoperative extra-axil cerebrospinal fluid accumulation in 6 hours after operation. 5 cases displayed symptomatic accumulation of extra-axil cerebrospinal fluid. 1 died 30 days aft er discharge, 4 performed S-P shunt and 3 of them switched to V-P shunt after S-P shunt failed.
Conclusion:
Much more attention should be paid to postoperative accumulation of extra-axil cerebrospinal fluid. Both V-P and S-P are the effective strategies of therapy.
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