Neurologic outcome of posttraumatic refractory intracranial hypertension treated with external lumbar drainage.

摘要: Background: Refractory intracranial hypertension (ICH) to second level measures after severe traumatic brain injury (TBI) is associated with mortality up 84% 100%. The use of external lumbar drainage (ELD) has been described in these patients. We report our experience the ELD 17 cases refractory ICH TBI. Methods: In Level 3 Intensive Care Unit (ICU) at a university hospital, treated according progressive approach following Brain Trauma Foundation guidelines. When fail control ICH, we an as rescue therapy if basal cisterns are discernible. Outcome ICU discharge and 6 months were analyzed using Glasgow Scale (GOS). Results: Mean age was 32.5 ± 13.3 years. reduced all ICP before 30.9 7.9 mm Hg 14.1 5.9 Hg. Four patients (24%) had rebound 5 days placement died ICU. At TBI, 13 (76%) presented good outcome (GOS score 4 5). No patient pupillary changes or cerebrospinal fluid infection during use. Conclusion: External effective safe procedure treat when Control important reduction functional recovery months.