Top

Child's Nervous System

Published in:

01-08-2008 | Technical Note

Role of galeal–pericranial flap in reducing postoperative CSF leak in patients with intracranial endoscopic procedures

Authors: Aaron Mohanty, Ravi Suman

Published in: Child's Nervous System | Issue 8/2008

Abstract

Objective

The authors describe a simple technique to reduce the incidence of cerebrospinal fluid (CSF) leak following endoscopic third ventriculostomy and other neuroendoscopic procedures.

Methods

After the scalp incision, the galea and pericranium are reflected in a single layer after the scalp incision which is then closed in a watertight fashion after the procedure is completed. The securely closed flap prevents minor CSF leaks which would have otherwise required intermittent CSF drainage procedures.

Conclusion

This simple procedural modification is effective in children with thin cortical mantle and large ventricles who are otherwise highly susceptible for CSF leak in the postoperative period.

Cinalli G (2004) Endoscopic third ventriculostomy. In: Cinalli G, Maixner WJ, Sainte-Rose C (eds) Pediatric hydrocephalus. Springer, Milan, pp 361–388

Cinalli G, Spennato P, Ruggiero C, Aliberti F, Trischitta V, Buonocore MC, Cianciulli E, Maggi G (2007) Complications following endoscopic intracranial procedures in children. Childs Nerv Syst 23:633–644PubMedCrossRef

Kombogiorgas D, Sgouros S (2006) Assessment of the influence of operative factors in the success of endoscopic third ventriculostomy. Childs Nerv Syst 22:1256–1262PubMedCrossRef

Navarro R, Gil-Parra R, Reitman AJ, Olavarria G, Grant JA, Tomita T (2006) Endoscopic third ventriculostomy in children: early and late complications and their avoidance. Childs Nerv Syst 22:506–513PubMedCrossRef

Nishiyama K, Mori H, Tanaka R (2003) Changes in cerebrospinal fluid hydrodynamics following endoscopic third ventriculostomy for shunt dependent noncommunicating hydrocephalus. J Neurosurg 98:1027–1031PubMed

Pereta P, Ragazzi P, Galarza M, Genitori L, Giordano F, Mussa F, Cinalli G (2006) Complications and pitfalls of neuroendoscopic surgery in children. J Neurosurg 105(suppl 3):187–193

Schroeder HWS, Niendorf WR, Gaab MR (2002) Complications of endoscopic third ventriculostomy. J Neurosurg 96:1032–1040PubMedCrossRef

Teo C, Rahman S, Boop FA, Cherny B (1996) Complications of endoscopic neurosurgery. Childs Nerv Syst 12:248–253PubMedCrossRef

Teo C (2004) Complications of endoscopic third ventriculostomy. In: Cinalli G, Maixner WJ, Sainte-Rose C (eds) Pediatric hydrocephalus. Springer, Milan, pp 411–420

Title: Role of galeal–pericranial flap in reducing postoperative CSF leak in patients with intracranial endoscopic procedures
Authors: Aaron Mohanty
Ravi Suman
Publication date: 01-08-2008
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 8/2008
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-008-0594-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Role of galeal–pericranial flap in reducing postoperative CSF leak in patients with intracranial endoscopic procedures

Abstract

Objective

Methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Conclusion

Please log in to get access to this content

Other articles of this Issue 8/2008

Intradiploic cavernous hemangioma of the skull in a child: a case report

Depressed skull fracture and epidural hematoma from head fixation with pins for craniotomy in children

Antenatal diagnosis of a third ventricular mass: fetus in fetu or teratoma?

Prof. Dr. Luciano Basauri, M.D. (1932–2008)—ISPN President 1980–1981

Catcher's mask cranioplasty for extensive cranial defects in children with an open head trauma: a novel application of partial cranioplasty

Microsurgical removal of intramedullary spinal cord gliomas in a rat spinal cord decreases onset to paresis, an animal model for intramedullary tumor treatment