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- Sajan Pandey, Yi Jin, Liang Gao, Cheng Cheng Zhou, and Da Ming Cui.
- Department of Neurosurgery, Shanghai 10th affiliated hospital of Tongji University, Shanghai, P.R. China.
- World Neurosurg. 2017 Mar 1; 99: 812.e7-812.e12.
BackgroundNegative-pressure hydrocephalus (NegPH), a very rare condition of unknown etiology and optimal treatment, usually presents postneurosurgery with clinical and imaging features of hydrocephalus, but with negative cerebrospinal fluid pressure.Case DescriptionWe describe a NegPH case of -3 mm Hg intracranial pressure that was successfully treated to achieve 5 mm Hg under continuous intracranial pressure monitoring with horizontal positioning, head down and legs elevated to 10°-15°, neck wrapping for controlled venous drainage, chest and abdomen bandages, infusion of 5% dextrose fluid to lower plasma osmolarity (Na+, 130-135 mmol/L), daily cerebrospinal fluid drainage >200 mL, and arterial blood gas partial pressure of carbon dioxide >40 mm Hg.Copyright © 2016 Elsevier Inc. All rights reserved.
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