Endoscopic approach was associated with significantly lower operative time, post-operative pain, requirement of lumbar drain
, blood loss and hospital stay, even though the rates of cavernous sinus invasion and perioperative complications were similar in both groups.
If the conservative treatment failed the placement of a CSF lumbar drain
should be considered.
Lumbar arachnoid drain or lumbar drain
is one of several CSF shunt maneuvers, but more feasible and common in clinical practice.
The Efficacy and Safety of Preoperative Lumbar Drain
Placement in Anterior Skull Base Skull Base.
Chronic subdural hematoma as a complication of lumbar drain
placement for the management of iatrogenic cerebrospinal fluid (CSF) leak has not been previously documented in the literature.
Placement of a diverting lumbar drain
is optional and controversial at this time.
Persistently elevated intracranial pressure (ICP) with ongoing symptoms necessitates insertion of a lumbar drain
to provide continuous controlled CSF drainage.
The NPH protocol at Mount Carmel East Hospital in Columbus, OH has standing referrals for physical therapy (PT) and occupational therapy (OT) prior to the insertion of a lumbar drain
for aggressive and appropriate drain management.
The patient was initially treated with a lumbar drain
, but high output through the chest tube persisted, so corrective surgery was required.
Due to Casey's unique anatomy (his cochlea does not have enough turns), the surgeons placed a lumbar drain
in his back to divert large amounts of cerebrospinal fluid (CSF) while the implant healed into place.
Gait tests should be performed before and after a lumbar drain
of 50-100 cc/day for 3 days in hard-to-diagnose cases to see if the patient improves, he says, noting that lumbar drain
is the standard test.