Safety and feasibility of ultra-early lumbar puncture in patients with aneurysmal subarachnoid hemorrhage

doi:10.3868/j.issn.2096-0689.2020.02.005

Journal of Translational Neuroscience

2020, Vol. 5

Issue (2) : 40-44 https://doi.org/10.3868/j.issn.2096-0689.2020.02.005

Research Article

Safety and feasibility of ultra-early lumbar puncture in patients with aneurysmal subarachnoid hemorrhage

Liang Liang^1*, Liwei Wu¹, Yaowen Hu¹, Xin Li¹, Haiqing Dong¹, Xiaofeng Sun²

1.Department of Neurosurgery, the First Central Hospital of Baoding, Baoding 071000, China
2.Department of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050051, China

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Abstract Objective: to evaluate the clinical efficacy and safety of ultra-early lumbar puncture drainage of cerebrospinal fluid (CSF) in patients with aneurysmal subarachnoid hemorrhage (SAH). Methods: patients (n=140) with aneurysmal SAH were randomly divided into observation group (n=70) and control group (n=70). After admission, CSF was drained by ultra-early lumbar puncture in the observation group and intermittent lumbar puncture after aneurysm operation in the control group. The incidences of early aneurysm rupture, acute hydrocephalus and delayed hydrocephalus were compared between the two groups. Results: there was no significant difference in the incidence of early-ruptured aneurysm and acute hydrocephalus between the two groups, but the incidence of delayed hydrocephalus in the observation group was significantly lower than that in the control group. Conclusion: ultra-early lumbar puncture drainage of CSF in aneurysmal SAH can effectively reduce the incidence of long-term delayed hydrocephalus and it is a safe and effective treatment.

Keywords ultra-early lumbar puncture aneurysmal subarachnoid hemorrhage hydrocephalus early-ruptured aneurysm

Issue Date: 25 June 2020

Cite this article:

Liang Liang, Liwei Wu, Yaowen Hu, Xin Li, Haiqing Dong, Xiaofeng Sun. Safety and feasibility of ultra-early lumbar puncture in patients with aneurysmal subarachnoid hemorrhage[J]. Journal of Translational Neuroscience,2020, 5(2): 40-44.

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https://academic.hep.com.cn/jtn/EN/10.3868/j.issn.2096-0689.2020.02.005
https://academic.hep.com.cn/jtn/EN/Y2020/V5/I2/40

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