Early post‑operative cerebrospinal fluid hypovolemia: Report of 7 cases

  • Authors:
    • Kun Hou
    • Xiaobo Zhu
    • Yang Zhang
    • Xianfeng Gao
    • Shihuan Suo
    • Jinchuan Zhao
    • Guichen Li
  • View Affiliations

  • Published online on: April 2, 2018     https://doi.org/10.3892/etm.2018.6018
  • Pages: 5119-5124
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Abstract

Cerebrospinal fluid (CSF) hypovolemia is a common neurosurgical condition, which may be spontaneous or iatrogenic. At our institution, a substantial number of the reported cases of early post‑operative CSF hypovolemia were identified to have unintentional or unrecognized post‑operative continuous excessive CSF leakage. Cases who presented with post‑operative CSF hypovolemia several days after uneventful intracranial surgeries without continuous CSF leakage were rarely reported. A retrospective review of the medical records of these patients was performed to identify those patients who developed early post‑operative CSF hypovolemia without the presence of post‑operative continuous CSF leakage. A total of 7 patients, 5 of which were males, were identified in this retrospective study. They experienced CSF hypovolemia between days 1 and 7 after emergency or scheduled intracranial surgeries. Ventricular collapse, cisternal effacement and midline shift are the most common radiological observations. With early diagnosis and management, 4 of the patients achieved a Glasgow Outcome Scale (GOS) score of 5, 1 achieved a GOS score of 4 and the remaining 2 had a GOS score of 3. No mortality was noted in this series. Although rare in incidence, early post‑operative CSF hypovolemia may occur without the existence of post‑operative continuous CSF leakage. When the diagnosis of CSF hypovolemia is reached, factors that may exacerbate CSF compensation should be promptly terminated. Trendelenburg position and sufficient intravenous hydration are practical and effective managements, and CSF hypovolemia may thereby be reversed in a substantial number of patients.
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June-2018
Volume 15 Issue 6

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Hou K, Zhu X, Zhang Y, Gao X, Suo S, Zhao J and Li G: Early post‑operative cerebrospinal fluid hypovolemia: Report of 7 cases. Exp Ther Med 15: 5119-5124, 2018
APA
Hou, K., Zhu, X., Zhang, Y., Gao, X., Suo, S., Zhao, J., & Li, G. (2018). Early post‑operative cerebrospinal fluid hypovolemia: Report of 7 cases. Experimental and Therapeutic Medicine, 15, 5119-5124. https://doi.org/10.3892/etm.2018.6018
MLA
Hou, K., Zhu, X., Zhang, Y., Gao, X., Suo, S., Zhao, J., Li, G."Early post‑operative cerebrospinal fluid hypovolemia: Report of 7 cases". Experimental and Therapeutic Medicine 15.6 (2018): 5119-5124.
Chicago
Hou, K., Zhu, X., Zhang, Y., Gao, X., Suo, S., Zhao, J., Li, G."Early post‑operative cerebrospinal fluid hypovolemia: Report of 7 cases". Experimental and Therapeutic Medicine 15, no. 6 (2018): 5119-5124. https://doi.org/10.3892/etm.2018.6018