title: Duret hemorrhage after lumbar drainage.
abstract: Lumbar drainage (LD) is considered as a simple and effective procedure for the treatment of intracerebral hemorrhage with ventricular involvement. However, cerebrospinal fluid overdrainage and hypovolemia due to LD could induce severe fatal complications, which include transtentorial herniation and infratentorial hemorrhage. Here, we describe a 63-year-old man with transtentorial herniations and Duret hemorrhage attributable to LD after the operation of thalamic hematoma removal. This is probably the first reported case of severe complications of LD. Thus, complications related to transtentorial herniations and Duret hemorrhage should be kept in mind while performing LD.
authors.affiliation: From the *Departments of Neurosurgery, †Finance, Yidu Central Hospital of Weifang, Qing Zhou, Shandong Province, China; ‡Qingzhou Office; §Department of Pharmacy, Yidu Central Hospital of Weifang, Qing Zhou, Shandong Province; and ∥Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors.forename: Xunhui
authors.initials: X
authors.lastname: Yuan
authors.forename: Hongyan
authors.initials: H
authors.lastname: Zhao
authors.forename: Cuiling
authors.initials: C
authors.lastname: Zhao
authors.forename: Haiying
authors.initials: H
authors.lastname: Zhao
authors.forename: Hang
authors.initials: H
authors.lastname: Xiao
authors.forename: Gaoling
authors.initials: G
authors.lastname: Sun
authors.forename: Yun'an
authors.initials: Y
authors.lastname: Bai
authors.forename: Liemei
authors.initials: L
authors.lastname: Guo
mesh_terms: D002543:Cerebral Hemorrhage / Q000601:surgery; D065634:Cerebrospinal Fluid Leak / Q000209:etiology*; D003128:Coma / Q000209:etiology; D004322:Drainage / Q000009:adverse effects*; D004388:Dura Mater; D006547:Hernia / Q000209:etiology*; D006801:Humans; D020896:Hypovolemia / Q000134:cerebrospinal fluid*; D008297:Male; D008875:Middle Aged