Document Detail


Normal saline injection via lumbar puncture for the treatment of acute tonsillar herniation: a report of 45 cases.
MedLine Citation:
PMID:  23041068     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: Current treatment of apnea due to acute tonsillar herniation is often inadequate. This study was undertaken to verify the clinical usefulness of normal saline injection via lumbar puncture for the treatment of apnea secondary to acute tonsillar herniation. METHODS: Between 1969 and 2009, a total of 45 patients, who had not regained spontaneous respiratory function after external ventricular drainage or removal of a supratentorial lesion via open craniotomy, received an injection of normal saline via lumbar puncture. Patient data was retrospectively analyzed. RESULTS: Eleven out of the 45 patients regained spontaneous breathing and recovered fully (24.4%). Sixteen patients regained spontaneous breathing but died later (35.6%), and a further eighteen patients did not regain spontaneous respiration (40.0%). The overall rate of effectiveness of injected normal saline was therefore 60.0%. CONCLUSION: For patients with tonsillar hernia who did not regain spontaneous respiration after external ventricular drainage or removal of a supratentorial lesion, an aggressive approach may be considered. Injection of normal saline via lumbar puncture could improve outcome in some of these patients.
Authors:
Qinghu Meng; Lin Wei; Xingang Li; Gang Li; Xueyuan Heng; Chengwei Wang; Chang Fei; Qinglin Zhang
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-3
Journal Detail:
Title:  World neurosurgery     Volume:  -     ISSN:  1878-8750     ISO Abbreviation:  World Neurosurg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101528275     Medline TA:  World Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012. Published by Elsevier Inc.
Affiliation:
Department of Neurosurgery, the Second Hospital of Shandong University, Jinan 250033, China.
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