Lumboperitoneal shunt for the communicating fluid accumulation under skin flap after traumatic decompressive craniectomy
Zhang Fenglin
Ying Qi
Bao Jing
Wang Maomao
Deng Xiaodong
Xu Xiaolong
Qian Lei
Tian Xiaojin
Sun Nengqiang
Abstract：Objective To investigate the treatment method for communicating fluid accumulation under skin flap after decompressive craniectomy. Methods Clinical data of 13 traumatic brain injury patients with communicating fluid accumulation under skin flap after decompressive craniectomy were analyzed retrospectively. All the patients were treated with lumboperitoneal (L-P) shunt. The mean thickness of the accumulation under the flap of the maximum level was 38.52 ± 6.09 mm. The mean GCS score was 6.73 ± 2.37. Results After L-P shunt, the mean thickness of the accumulation under skin flap of the maximum level was 3.94 ± 2.70 mm, which was smaller than that before shunt (P < 0.05). The mean GCS score was 9.09 ± 2.95, which was significantly higher than that before shunt (P < 0.05). All the patients were followed up for 1 to 12 months. In 11 patients with conscious disturbance before operation, 3 recovered, 6 got better and 2 remained unchanged after operation. There were 7 patients with paralysis before operation, whose muscle strength improved in 4 patients and remained unchanged in 3 after operation. The symptom of vomiting improved in 3 patients after operation. There was no infection and bleeding after operation. Conclusion L-P shunt is effective for the communicating fluid accumulation under skin flap after traumatic decompressive craniectomy.
Keywords：fluid accumulation under skin flapcommunicatinglumboperitoneal shuntdecompressive craniectomytrauma
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 261-262 )