Experience with Lumber Puncture for Obstructive Hydrocephalus Patients following Endoscopic Surgery
|Zhiqiang Hu1*, Zhuang Kang1, Guangtong Zhu1, Jian Tu2, Hui Huang1, Feng Guan1, Bin Dai1 and Beibei Mao1|
|1Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, 100038 P. R. China|
|2Australian School of Advanced Medicine, Macquarie University, Sydney, NSW 2109, Australia|
|Corresponding Author :||Zhiqiang Hu
Department of Neurosurgery, Beijing Shijitan Hospital
Capital Medical University, No.10 Tieyi Rd
Yangfangdian, Haidian District, Beijing 100038, P. R. China
Tel: +86 (10) 6392 6168
Fax: +86 (10) 6392 6798
E-mail: [email protected]
|Received February 02, 2015; Accepted May 01, 2015; Published May 04, 2015|
|Citation: Hu Z, Kang Z, Zhu G, Tu J, Huang H et al. (2015) Experience with Lumber Puncture for Obstructive Hydrocephalus Patients following Endoscopic Surgery. Brain Disord Ther 4:164. doi:10.4172/2168-975X.1000164|
|Copyright: © 2015 Hu Z, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Following endoscopic third ventriculostomy (ETV), the intracranial pressure (ICP) of some patients remains high immediately. The cause of this phenomenon is still controversial. The objective of this study is to explore the effect of postoperative lumbar puncture following ETV for obstructive hydrocephalus patients.
Methods: 145 patients presenting with obstructive hydrocephalus underwent ETV in our department between 2009 and 2014. Following ETV, all patients received lumbar punctures 1 and 3 days after surgery.
Results: For 106 patients, intracranial pressure (ICP) returned to normal levels and symptoms associated with high ICP ceased. In 39 patients, intracranial pressure remained high and they continued to receive lumbar punctures every other day for a period of 11 days post-surgery. These patients were divided into two groups for analysis: group A (<18 years old) and group B (>18 years old). Intracranial pressure of both groups increased initially before decreasing to normal values. Peak values of ICP for groups A and B occurred on days 3 and 5, respectively.
Conclusions: Postoperative lumbar puncture is important to determine the effect of surgery or treatment on transient high ICP after ETV. For most of these symptomatic patients with obstructive hydrocephalus, lumbar punctures were effective in bringing about fast normalization of ICP and cessation of adverse symptoms.