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Traumatic brain injury, cerebrospinal fluid leak accumulated on the top of the eyes and within the head skull and scalp, lump form, removed lumbar drain, recurring lump, with less pressure, how often is this recurring?, and for how long?. - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Head Injuries
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1706 Questions
User :   Hi
Doctor :   Hi
User :   Hi Dr
Doctor :   Go ahead with your query
User :   thanks for you time
User :   I need to ask on some urgent questions as my Son is in very critical condition in a Hospital
User :   he has suffered with TBI (Traumatic Brain Injury) penetrating skull injury
User :   Its been now almost 1.5 Months he is hospital and has gone throw a surgery and Lumbar drain procedure
User :   After the surgery "Csf Leak" happend from his dura mater tissues and it got accumulated on top of his eyes forming a lump
User :   after "Lumbar Drain " was done the pressures got ok and even the lump was removed.. Lumbar drain happened for almost 4 days
User :   they removed the lumbar drain yesterday .. now its been 24 hrs and we seeing again the lump getting formed
User :   though with less pressures
User :   what should be done next shall we wait for csf leaks to get closed on there own
Doctor :   What are the symptoms now?
User :   ?
User :   now we are seeing that lump getting refilled again but with very less pressure
User :   also pressures are normal
User :   but it seems there is still some leak
Doctor :   Where is the leak now?
Doctor :   Is it Lumbar leak or over the head
User :   leak is getting accumulated in the head
User :   Lumbar drain is removed
Doctor :   Do you see a leak from the nose?
User :   no
User :   no leak from nose or ear
User :   its only within head forming lump between skull and scalp
User :   over the eyes
Doctor :   How large is it?
Doctor :   Is it lesser than the first one?
User :   yes
User :   much lesser
Doctor :   Do you know the procedure done ?
User :   it has reduced to 50%
User :   yes Lumbar Drain
Doctor :   Ok
User :   on the spinal cord
Doctor :   That is a good sign
Doctor :   What kind of surgery was done at the skull injury
Doctor :   Some times it cause abnormal communication to exterior and cause CSF leak
User :   it was done to cure some damaged tissues on the brain
Doctor :   In such cases it should be waited to seal off
Doctor :   Otherwise the doctor can looking for surgical options
User :   So after a Lumbar Drain is removed
User :   do you suggest
User :   we should wait for some days if csk leak repairs on there own
User :   can a Lumbar Drain be applied again
Doctor :   Lumbar drain does not seal it, the main application of lumbar drain is to reduce the pressure
Doctor :   It is a notion that lumbar drain reduces the pressure which in turn stops the leak
Doctor :   So if the lumbar drain is removed it means the pressure is levelled
Doctor :   so you should wait and see how the lump progresses
Doctor :   since it is smaller it may not need a lumbar drain again
User :   ok thats what we are doing waiting and praying them to close on there own
Doctor :   I do not know if a patch can be placed in that place or not through the nostrils
Doctor :   to close the leak
Doctor :   Till then just pray and take proper antibiotics for prevention of infection
User :   ok sure
User :   Thanks for the answers and help doctor
Doctor :   Thanks for consulting
Doctor :   Bye for now
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