Technical Note: External Cerebrospinal Fluid (CSF) Drainage by Percutaneous Needle Punction in Newborn Children |
| |
Authors: | M Winking I Schroth A Joedicke D K Boeker |
| |
Institution: | (1) Neurosurgical Clinic, Justus-Liebig University Giessen, Germany, DE |
| |
Abstract: | Summary External drainage of CSF in children is indicated in acute hydrocephalus e.g. after intraventricular bleeding or infection.
In these cases the drainage has to remain in place until physiological CSF circulation is restored or an internal shunt can
be inserted. External drainage is mostly performed using a silicon catheter connected to a plastic bag. An external CSF drainage
left for several days in situ bears an increasing risk of bacterial infection. In these cases a metal needle minimizes the
risk of ventriculitis.
For prevention of accompanying infection we implanted a CytocanR port needle with a 20 G diameter in 7 infants. The needle is easily inserted with low risk of complications. By its plastic
top angulated at 90° to the needle the system can be fixed to the skin very safely by suture or tape.
With this system neither an implantation related intracerebral haemorrhage nor an accompanying ventriculitis was encountered.
In two cases a pre-existing ventriculitis was cured by this needle drainage and antibiotic treatment. In five cases an acute
hydrocephalus after intraventricular haemorrhage was drained by the port needle system. |
| |
Keywords: | : CSF Hydrocephalus Drainage |
本文献已被 SpringerLink 等数据库收录! |