Aaron Mohanty1, Ravi Suman. 1. Division of Neurosurgery, University of Texas Medical Branch at Galveston, Galveston, TX 77555-0517, USA. aarmohanty@yahoo.com
Abstract
OBJECTIVE: The authors describe a simple technique to reduce the incidence of cerebrospinal fluid (CSF) leak following endoscopic third ventriculostomy and other neuroendoscopic procedures. METHODS: After the scalp incision, the galea and pericranium are reflected in a single layer after the scalp incision which is then closed in a watertight fashion after the procedure is completed. The securely closed flap prevents minor CSF leaks which would have otherwise required intermittent CSF drainage procedures. CONCLUSION: This simple procedural modification is effective in children with thin cortical mantle and large ventricles who are otherwise highly susceptible for CSF leak in the postoperative period.
OBJECTIVE: The authors describe a simple technique to reduce the incidence of cerebrospinal fluid (CSF) leak following endoscopic third ventriculostomy and other neuroendoscopic procedures. METHODS: After the scalp incision, the galea and pericranium are reflected in a single layer after the scalp incision which is then closed in a watertight fashion after the procedure is completed. The securely closed flap prevents minor CSF leaks which would have otherwise required intermittent CSF drainage procedures. CONCLUSION: This simple procedural modification is effective in children with thin cortical mantle and large ventricles who are otherwise highly susceptible for CSF leak in the postoperative period.
Authors: Gyang M Bot; Nasiru J Ismail; Babagana Usman; Danaan J Shilong; Joseph O Obande; Salamat O Aliu; Ismail Hassan; Bello B Shehu Journal: Childs Nerv Syst Date: 2014-05-17 Impact factor: 1.475