Spontaneous Cerebrospinal Fluid Rhinorrhea With Meningoencephalocele Recurrence After Placement of a Lumboperitoneal Shunt: A Case Report.

自发性脑脊液鼻漏伴脑膜脑膨出术后复发腰腹膜分流术 1 例.

• 发表时间: 2024 Apr
• 来源期刊: Cureus
• DOI: 10.7759/cureus.58896
• PMID: 38800265
• 文章类型: Case Reports
• 作者列表: Natsuhara H,Chihara H,Ono I

关键词: cerebrospinal fluid diversion; cerebrospinal fluid rhinorrhea; lumbar drainage; lumboperitoneal shunt; meningoencephalocele

Abstract

Cerebrospinal fluid rhinorrhea associated with meningoencephalocele is usually treated surgically. During the perioperative period, cerebrospinal fluid diversion may be employed to control intracranial pressure, but there are few indications for this method. A 51-year-old female presented with cerebrospinal fluid rhinorrhea associated with meningoencephalocele and underwent surgical repair followed by the placement of a lumboperitoneal shunt. However, cerebrospinal fluid leakage recurred, requiring a second surgery. Lumbar drainage effectively controls intracranial pressure, but it does not cure bone defects. The use of these devices should be carefully considered based on the patient\'s condition.

摘要

与脑膜脑膨出相关的脑脊液鼻漏通常通过手术治疗。围手术期,脑脊液改道可用于控制颅内压，但是这种方法的迹象很少。一名51岁的女性出现与脑膜脑膨出相关的脑脊液鼻漏，并接受了手术修复，然后放置了腰腹膜分流术。然而,脑脊液漏复发,需要第二次手术.腰椎引流有效控制颅内压，但它不能治愈骨缺损。应根据患者的情况仔细考虑这些设备的使用。