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[Cerebrospinal fluid hypotension after brain surgery].

E I Zlotnik, I Z Stolkarts

    Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko
    |March 1, 1984
    PubMed
    Summary

    Cerebrospinal fluid hypotension (CSFH) is a severe complication after brain surgery. Prompt diagnosis via lumbar puncture and treatment with fluid infusion can effectively manage this condition.

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    [The prevention of the intracranial hypertension due to general anesthesia during operations on the brain].

    Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko·1990
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    [Giant thrombosed saccular aneurysm of the brain].

    Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko·1988
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    [The use of cerebrospinal fluid drainage for providing a surgical approach in intracranial operations].

    Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko·1988
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    Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko·1987
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    [Effect of artificial pulmonary ventilation by mask and tracheal intubation during induction anesthesia on cerebrospinal fluid pressure in neurosurgical patients].

    Anesteziologiia i reanimatologiia·1986

    Area of Science:

    • Neurosurgery
    • Neurology
    • Critical Care Medicine

    Context:

    • Post-intracranial manipulation complications
    • Meningioma surgery
    • Intracranial aneurysm surgery
    • Subdural hematoma surgery

    Purpose:

    • To describe the incidence, clinical presentation, diagnostic utility of lumbar puncture, and effective therapeutic strategies for cerebrospinal fluid hypotension (CSFH) following intracranial procedures.

    Summary:

    • Cerebrospinal fluid hypotension (CSFH) developed in 9 patients post-neurosurgery (meningioma, aneurysm, subdural hematoma). Symptoms included rapid neurological decline, occurring 2-3 days post-op. Lumbar puncture is crucial for diagnosis, revealing low or absent CSF pressure. Treatment involves subarachnoid physiological solution infusion and intravenous fluids.

    Impact:

    • Highlights the importance of recognizing CSFH as a post-neurosurgical complication.
    • Emphasizes the diagnostic value of lumbar puncture in differentiating hypotensive and hypertensive syndromes.
    • Provides evidence for effective therapeutic interventions, including fluid resuscitation and subarachnoid infusion.

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