Duret Hemorrhage After Lumbar Drainage

作者：Yuan, Xunhui; Zhao, Hongyan; Zhao, Cuiling; Zhao, Haiying; Xiao, Hang; Sun, Gaoling; Bai, Yun'an; Guo, Liemei^*

来源：Journal of Craniofacial Surgery, 2014, 25(4): 1551-1552.

DOI：10.1097/SCS.0000000000000855

• Duret hemorrhage
• lumbar drainage
• CSF overdrainage
• CSF hypovolemia

Lumbar drainage (LD) is considered as a simple and effective procedure for the treatment of intracerebral hemorrhage with ventricular involvement. However, cerebrospinal fluid overdrainage and hypovolemia due to LD could induce severe fatal complications, which include transtentorial herniation and infratentorial hemorrhage. Here, we describe a 63-year-old man with transtentorial herniations and Duret hemorrhage attributable to LD after the operation of thalamic hematoma removal. This is probably the first reported case of severe complications of LD. Thus, complications related to transtentorial herniations and Duret hemorrhage should be kept in mind while performing LD.

• 出版日期2014-7
• 单位上海交通大学