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논문 기본 정보

자료유형
학술저널
저자정보
Insu Lee (Department of Neurosurgery Gil Medical Center Gachon University Incheon Korea) 박철완 (가천대학교) Chan Jong You (Department of Neurosurgery Gil Medical Center Gachon University Incheon Korea) 최대한 (가천대학교) Kwang Woo Park (Gil Medical Center Gachon Medical School) Young Bo Kim (Department of Neurosurgery Gil Medical Center Gachon University) Woo Kyung Kim (Department of Neurosurgery Gachon University Gil Medical Center Incheon Korea) Gi Taek Yee (Department of Neurosurgery Gil Medical Center Gachon University College of Medicine) Myeong Jin Kim (Department of Neurosurgery Gachon University Gil Medical Center Incheon Korea) Eun Young Kim (Department of Neurosurgery Gil Medical Center Gachon University College of Medicine)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.22 No.2
발행연도
2020.1
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53 - 64 (12page)

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Objective: We aimed to identify the relation between perioperative cerebrospinal fluid (CSF) drain through lumbar drainage (LD) and development of postoperative (POP) remote intracerebral hemorrhage (rICH) in craniotomy to treat ruptured intracranial aneurysms. Methods: We retrospectively reviewed consecutive patients who underwent craniotomy for ruptured cerebral aneurysms at the authors’ institution between 1998 and 2004. We subsequently compared the incidence and characteristics of POP rICH between the patients who had a perioperative LD and those who did not. All statistical analyses were conducted using the software package SPSS 19.0 (SPSS Inc., Chicago, IL, USA). A p value of <0.05 was considered statistically significant. Results: We enrolled 688 patients, of which 80 patients (11.6%) received perioperative LD, and 608 did not. LD and non-LD groups were comparable because although clinical characteristics of the two groups were significantly different considering history of hypertension, timing of surgery, and closed system negative pressure suction drain (SD) placement, none of these three variables was an independent risk factor associated with POP rICH in multivariate analysis. POP rICH incidence was significantly higher in the LD goup (12.5%) than non-LD group (0.8%) (p=0.000) in univariate analysis. LD placement was the only independent risk factor associated with the development of rICH in multivariate logistic regression analysis. Conclusions: POP rICH incidence was significantly higher in patients who were managed with perioperative LD than in those who did not. LD insertion in craniotomy for ruptured intracranial aneurysm, should be closely monitored to address the occurrence of POP rICH.
#Intracranial aneurysm #Postoperative hemorrhage #Cerebrospinal fluid #Cerebrospinal fluid leak

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참고문헌 (38)

참고문헌 신청
Atkinson JL / 1998 / Acquired Chiari I malformation secondary to spontaneous spinal cerebrospinal fluid leakage and chronic intracranial hypotension syndrome in seven cases / J Neurosurg 88(2):237~242 google schola Baek IH / 2008 / Remote cerebellar hemorrhage after surgery for an unruptured aneurysm / J Cerebrovasc Endovasc Neruosurg 10(3):454~458 google schola Basauri LT / 1999 / Cerebrospinal fluid spinal lumbar drainage : indications, technical tips, and pitfalls / Crit Rev Neurosurg 9(1):21~27 google schola Borkar SA / 2013 / Remote site intracranial haemorrhage : a clinical series of five patients with review of literature / Br J Neurosurg 27(6):735~738 google schola Brisman MH / 1996 / Intracerebral hemorrhage occurring remote from the craniotomy site / Neurosurgery 39(6):1114~1121 google schola

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