An effective and less invasive treatment of post-traumatic cerebrospinal fluid fistula: Closed lumbar drainage system

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dc.authorid0000-0003-1000-2811en_US
dc.contributor.authorDalgıç, Ali
dc.contributor.authorOkay, H. O.
dc.contributor.authorGezici, Ali Rıza
dc.contributor.authorDağlıoğlu, E.
dc.contributor.authorAkdağ, R.
dc.date.accessioned2021-06-23T19:25:50Z
dc.date.available2021-06-23T19:25:50Z
dc.date.issued2008
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractCerebrospinal fluid (CSF) leakage may develop when a defect is formed in dural layers by traumatic or iatrogenic processes. Traumatic CSF leakage was encountered in 2 % of head injuries. CSF leakage is an associated feature of 12-30 % of skull base fractures. Numerous treatment modalities are proposed for the management of CSF leaks. A closed lumbar drainage system (CLDS) is recommended as an alternative method to surgery for preventing complications related to leakage. In the present study, we report the clinical details of 46 patients who suffered from rhinorrhea/otorrhea (R/O), three of whom were urgently operated due to other causes like subdural hematoma and tension pneumocephalus. Leakage spontaneously ceased in 26 (60.4%) patients whereas CLDS insertion was found to be necessary in 17 patients. A prophylactic antibiotic regimen was started in the CLDS group and these patients were followed with daily CSF cell counts. Fifteen patients (88.2 %) were successfully treated by CLDS, however meningitis developed in 2 patients (11.7 %). Severe complications like meningitis could be avoided by a simple daily microbiological analysis of CSF.en_US
dc.identifier.doi10.1055/s-2008-1042437
dc.identifier.endpage157en_US
dc.identifier.issn0946-7211
dc.identifier.issue3en_US
dc.identifier.pmid18521786en_US
dc.identifier.scopus2-s2.0-46849115388en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage154en_US
dc.identifier.urihttps://doi.org/10.1055/s-2008-1042437
dc.identifier.urihttps://hdl.handle.net/20.500.12491/6277
dc.identifier.volume51en_US
dc.identifier.wosWOS:000257117400005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGezici, Ali Rıza
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofMinimally Invasive Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTraumaen_US
dc.subjectCerebrospinal Fluid Fstulaen_US
dc.subjectClosed Lumbar Drainage Systemen_US
dc.subjectMeningitisen_US
dc.subjectTreatmenten_US
dc.titleAn effective and less invasive treatment of post-traumatic cerebrospinal fluid fistula: Closed lumbar drainage systemen_US
dc.typeArticleen_US

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Cerrahi Tıp Bilimleri Bölümü Koleksiyonu
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