Refractory after craniotomy the treatment of fluid under the scalp_0.docVIP

 PAGE \* MERGEFORMAT 11 Refractory after craniotomy the treatment of fluid under the scalp [Abstract] Objective craniotomy effusion refractory scalp treatment experience. Methods 12 patients with clinically craniotomy for different causes of refractory scalp taken by the fluid and the efficacy of different treatment methods . Results 11 patients successfully cured, 1 case complicated with intracranial infection was cured by the anti-infection treatment. Conclusion intractable scalp fluid can not be discounted, should be based on different reasons, to take individualized treatment plan, develop well-planned in order work. [Keywords:] craniotomy; scalp effusion; Treatment of Effusion after craniotomy scalp is one common complication of neurosurgery. Craniotomy healed 1 week after conservative treatment of cerebrospinal fluid leakage, known as refractory clinical cerebrospinal fluid leakage [1]. Scalp effusion is a form of cerebrospinal fluid leakage, we will be more than 1 week after conservative treatment or surgical treatment cured more than 1 fluid under the scalp, known as refractory fluid under the scalp. In recent years our stubborn scalp effusion, for various reasons, to take a different approach to treatment, and achieved good effect, are as follows. 1 Clinical data 1.1 General Information Our department from January 2005 to January 2009 were treated 12 cases of refractory patients with fluid under the scalp. Including 8 males and 4 females, aged 20 to 62 years, mean 48 years of age. 2 cases of frontal, temporal 4 cases, the top 3, occipital in 3 cases. including 6 cases of trauma: decompressive craniectomy in 5 cases (1 case complicated by penetrating defects, 4 cases of communicating hydrocephalus), a routine cranial window; tumor 6 Example: tumor resection underwent nerve repair dural patch in 4 cases, 2 cases with cranial window (concurrent infection in 1 case). 1.2 Treatment 12 cases of patients with refractory fluid under the