Cerebrospinal fluid overdrainage
see Shunt overdrainage.
drip chamber falls to floor:
a) overdrainage, possible seizures and/or subdural hematoma formation
b) solution: securely tape chamber to pole, bed-rail…, check position regularly.ç
Lobar hemorrhage at site remote from craniotomy. In a series of 37 patients, unlike hematomas at the craniotomy site, the following were identified as not being related to risk of hemorrhage: HTN, coagulopathy, CSF drainage, underlying occult lesion following drainage of chronic SDH , and cerebellar hemorrhage following pterional craniotomy 1) (this author incriminated possibly rapid overdrainage of CSF), or following temporal lobectomy 2).
Lumbar catheter CSF drainage
1)
Papanastassiou V, Kerr R, Adams C. Contralateral
Cerebellar Hemorrhagic Infarction After Pterional
Craniotomy: Report of Five Cases and Review of
the Literature. Neurosurgery. 1996; 39:841–852
2)
Toczek MT, Morrell MJ, Silverberg GA, et al.
Cerebellar Hemorrhage Complicating Temporal
Lobectomy: Report of Four Cases. J Neurosurg.
1996; 85:718–722