Continuous cerebrospinal fluid drainage by spinal puncture for cerebrospinal fluid rhinorrhea after pituitary adenoma surgery

作     者：Zhengnian Ding Weixing Hu 

作者机构：Department of AnesthesiologyNanjing 210029 China Department of Neurosargery the First Affiliated Hospital of Nanjing Medical University Nanjing 210029 China 

出 版 物：《Journal of Nanjing Medical University》 (南京医科大学学报（英文版）)

年 卷 期：2005年第19卷第4期

页      面：219-221页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Cerebrospinal fluid Spinal puncture Drainage 

摘      要：Objective： Cerebrospinal fluid （CSF） rhinorrhea may be a serious complication after neurosurgery. Some of them can be treated conservatively by continuous CSF drainage with a lumbar subarachnoid catheter. On the other hand, spinal puncture may result in headache by CSF leakage. Methods： Present a 17-year-old female who suffered from CSF rhinorrhea after pituitary surgery was treated by making use of spinal puncture after failed catheter drainage. Results： The patient was successfully treated by this way. Conclusion： Spinal puncture by 16-gauge Touhy needle seems to be a possible way to substitute the traditional continuous lumbar subarachnoid catheter to drain the CSF in patients with rhinorrhea.