[Postoperative dural tightness. Value of suturing of the pericranium in surgery of the posterior cranial fossa].
It is difficult to have the dura-mater of the posterior fossa tightly closed, with no excessive traction especially when it was necessary to coagulate some vessels. The use of a pericranial graft taken in the interparietal area on up of the occipital craniotomy permits a tight closure, preventing pseudomeningocele via diffusion of CSF, and without tension gaining space which permits a better tolerance of the post-operative cerebellar oedema.
Czorny
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Service de Neurochirurgie, C.H.R.U., Hôpital Jean Minjoz, Besançon.
D002555:Cerebrospinal Fluid; D003388:Cranial Fossa, Posterior / Q000601:surgery*; D004388:Dura Mater / Q000601:surgery*; D004824:Epidural Space; D005402:Fistula / Q000517:prevention & control; D006801:Humans; D010521:Periosteum / Q000637:transplantation; D013536:Suture Techniques
L'étanchéité durale post-opératoire. Intérêt de la plastie de péricrane au cours de la chirurgie de la fosse postérieure.