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논문 기본 정보

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학술저널
저자정보
Kim, Young-Hoon (Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Han, Jung Ho (Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Kim, Chae-Yong (Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Oh, Chang Wan (Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제54권 제2호
발행연도
2013.1
수록면
112 - 117 (6page)

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Objective : We performed this study to investigate whether the use of closed-suction drainage following microvascular decompression (MVD) causes cerebrospinal fluid (CSF) leakage. Methods : Between 2004 and 2011, a total of 157 patients with neurovascular compression were treated with MVD. MVD was performed for hemifacial spasm in 150 (95.5%) cases and for trigeminal neuralgia in 7 (4.5%) cases. The mean age of the patients was $49.8{\pm}9.6$ years (range, 20-69). Dural substitutes were used in 44 (28.0%) patients. Ninety-two patients (58.6%) were underwent a 4-5 cm craniotomy using drainage (drainage group), and 65 (41.4%) did a small 2-2.5 cm retromastoid craniectomy without closed-suction drainage (no-drainage group). Results : Eleven (7.0%) patients experienced CSF leakage following MVD based on the criteria of this study; all of these patients were in the drainage group. In the unadjusted analyses, the incidence of CSF leakage was significantly related with the use of closed-suction drainage following MVD (12.0% in the drainage group vs. 0% in the no-drainage group, respectively; p=0.003; Fisher's exact test). Those who received dural substitutes and the elderly (cut-off value=60 years) exhibited a tendency to develop CSF leakage (p=0.075 and p=0.090, respectively; Fisher's exact test). In the multivariate analysis, only the use of closed-suction drainage was significantly and independently associated with the development of CSF leakage following MVD (odds ratio=9.900; 95% confidence interval, 1.418 to infinity; p=0.017). Conclusion : The use of closed-suction drainage following MVD appears to be related to the development of CSF leakage.
#Microvascular decompression #Cerebrospinal fluid leakage #Closed-suction drainage #Hemifacial spasm #Trigeminal neuralgia

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참고문헌 (15)

참고문헌 신청
Allen KP / 2011 / Lumbar subarachnoid drainage in cerebrospinal fluid leaks after lateral skull base surgery / Otol Neurotol 32:1522~1524 google schola Bien AG / 2007 / Utilization of preoperative cerebrospinal fluid drain in skull base surgery / Skull Base 17:133~139 google schola Broggi G / 2000 / Microvascular decompression for trigeminal neuralgia : comments on a series of 250 cases, including 10 patients with multiple sclerosis / J Neurol Neurosurg Psychiatry 68:59~64 google schola Hitotsumatsu T / 2003 / Microvascular decompression for treatment of trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia : three surgical approach variations : technical note / Neurosurgery 53:1436~1441 google schola Kalkanis SN / 2003 / Microvascular decompression surgery in the United States, 1996 to 2000 : mortality rates, morbidity rates, and the effects of hospital and surgeon volumes / Neurosurgery 52:1251~1261 google schola

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