[Experience of treatment for accumulation of extra-axil cerebrospinal fluid after skull surgery].
OBJECTIVE
To explore the treatment and pathophysiology of extra-axil cerebrospinal fluid accumulation aft er skull surgery.


METHODS
The treatment of 46 cases of pineal regional tumor was retrospectively studied.


RESULTS
The CT showed that all patients had postoperative extra-axil cerebrospinal fluid accumulation in 6 hours after operation. 5 cases displayed symptomatic accumulation of extra-axil cerebrospinal fluid. 1 died 30 days aft er discharge, 4 performed S-P shunt and 3 of them switched to V-P shunt after S-P shunt failed.


CONCLUSIONS
Much more attention should be paid to postoperative accumulation of extra-axil cerebrospinal fluid. Both V-P and S-P are the effective strategies of therapy.
Division of Pediatric Neurosurgery, Center for Hydrocephalus Diagnosis and Treatment, Xiangya Hospital, Central South University, Changsha 410078, China.
Jie
J
Zhao
Jingping
J
Liu
Zhiping
Z
Zhang
Jian
J
Li
Gelei
G
Xiao
Xinbin
X
Liao
Chen
C
Jin
D002557:Cerebrospinal Fluid Shunts; D006801:Humans; D010871:Pinealoma / Q000134:cerebrospinal fluid / Q000601:surgery*; D011184:Postoperative Period; D012189:Retrospective Studies; D012886:Skull / Q000601:surgery*