Perioperative lumbar injection of Ringer's lactate solution in chronic subdural hematomas: a series of 100 cases

A series of 100 patients underwent surgical treatment for chronic subdural hematomas between 1979 and 1987. The procedure consisted of craniectomy with a 30-mm trephine, irrigation and drainage of the hematoma, laceration of the outer and inner membranes, and lumbar intrathecal injection of Ringer&#...

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Bibliographic Details
Published in:	Neurosurgery Vol. 23; no. 5; p. 616
Main Authors:	Grisoli, F, Graziani, N, Peragut, J C, Vincentelli, F, Fabrizi, A P, Caruso, G, Bellard, S
Format:	Journal Article
Language:	English
Published:	United States 01-11-1988
Subjects:	Adult Aged Aged, 80 and over Female Follow-Up Studies Hematoma, Subdural - complications Hematoma, Subdural - physiopathology Hematoma, Subdural - surgery Humans Lactates - administration & dosage Lactic Acid Male Middle Aged Neurosurgery - methods Postoperative Complications
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Summary:	A series of 100 patients underwent surgical treatment for chronic subdural hematomas between 1979 and 1987. The procedure consisted of craniectomy with a 30-mm trephine, irrigation and drainage of the hematoma, laceration of the outer and inner membranes, and lumbar intrathecal injection of Ringer's lactate solution for immediate cerebral reexpansion (average injection, 130 ml). This technique gave the following results: 2% mortality, 2% moderate morbidity, and 96% recovery. The recovery of the patients was rapid, and good outcome was achieved in Grade 3 and Grade 4 cases (Markwalder's classification).
ISSN:	0148-396X
DOI:	10.1227/00006123-198811000-00012