====== External Lumbar Cerebrospinal Fluid Drainage Indications ====== 1. to reduce CSF pressure on a site of Cerebrospinal fluid fistula/fistula. Example situations: a) dural breach during spine surgery or craniotomy (especially posterior fossa) b) for spontaneous CSF fistula (rare) 2. to reduce intracranial pressure in cases of communicating hydrocephalus: e.g. drain test for NPH, or when an infected shunt has been removed 3. to reduce CSF pressure to attempt to increase perfusion of the spinal cord: e.g. during surgery for abdominal [[aortic aneurysm]], or following [[spinal cord injury]] ---- see [[Cerebrospinal fluid tap test]]. see [[External lumbar cerebrospinal fluid drainage for cerebrospinal fluid fistula]]. Reduce intracranial pressure (ICP) during a craniotomy. [[External Lumbar Cerebrospinal Fluid Drainage for subarachnoid hemorrhage]]