Traumatic brain injury surgery and lumbar drain procedure cerebrospinal fluid leak accumulation above eyes recurring injury left center of the skull - Online Doctor Chats
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Practicing since : 2004
Answered : 40 Questions
User : Hi Doctor thanks for your Time
Doctor : HI
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
Doctor : Ok Please go ahead
Doctor : I am sorry to hear about this
User : After the surgery "Csf Leak" happend from his dura mater tissues and it got accumulated on top of his eyes forming a lump
Doctor : ok
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
User : shall we wait for csf leaks to get closed
User : ?
Doctor : CSF leaks which are small close by themselves
Doctor : Otherwise a Surgical approach is taken
Doctor : The treating Pediatric Surgeon and the Neurosurgeon should be able to inform you when would be the right time to intervene
User : ok. But for now do you think there is still a chance leaks will go on there own .. I mean after leak started again with Lumbar drain
User : is there still a chance they can close on there own after few days
User : my child is just 5.5 yrs old
User : in a child of this age does the repairing happen faster or it slower than normal youngster
Doctor : That is a complex question
Doctor : I want to know if there is a fistula that had formed at the site of the surgery
User : yes might be that is the reason its leaking and accumulating in between the scal and skull above the eyes
User : Though the actual site of injury is much above on left centre of the skull
Doctor : Ok
User : what can be done next doctor.. should we wait and watch.. Is surgery safe and successful
Doctor : It is difficult to say how long to wait and what can this develop into
User : yes but we are really worried
User : yes right.
Doctor : We just need to ask few questions if we go for surgery, are we doing a preemptive intervention before the CSF leaks stop by itself
User : though our doctor has said we should wait for 2 days and then only he will suggest next step
User : he said even if its leaking little bit now , ther could be a chance leaks hae started healing
User : and may take 2 days to heal
Doctor : Ok
Doctor : What is the CSF pressure now
Doctor : Is there less pressure
User : its normal range
User : I mean above 15 mm
User : I am not to sure the measuring units
Doctor : ok
User : not yet
User : he hasn't mentioned anything about the next step
User : he is still positive on csf leak repair
Doctor : Did the doctor say anything about epidural blood patch procedures
Doctor : Ok
Doctor : I should be less experienced than the neurosurgeon you are following up with, so I better suggest him to decide when to operate on
User : ok thanks!! doctor will stay on his advice then
User : but thanks for all your guidance
User : i am really worried though
User : bye
Doctor : I understand sometimes time has the answers
Doctor : So in your case too
Doctor : I hope I have been of some help to you
Doctor : Bye for now
User : Hi
Doctor : Hi
User : who is this
Doctor : Are y ou back?
User : Hi Doctor. It seems I pressed the wrong link
User : sorry
Doctor : Ok
Doctor : No problem
Doctor : HI
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
Doctor : Ok Please go ahead
Doctor : I am sorry to hear about this
User : After the surgery "Csf Leak" happend from his dura mater tissues and it got accumulated on top of his eyes forming a lump
Doctor : ok
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
User : shall we wait for csf leaks to get closed
User : ?
Doctor : CSF leaks which are small close by themselves
Doctor : Otherwise a Surgical approach is taken
Doctor : The treating Pediatric Surgeon and the Neurosurgeon should be able to inform you when would be the right time to intervene
User : ok. But for now do you think there is still a chance leaks will go on there own .. I mean after leak started again with Lumbar drain
User : is there still a chance they can close on there own after few days
User : my child is just 5.5 yrs old
User : in a child of this age does the repairing happen faster or it slower than normal youngster
Doctor : That is a complex question
Doctor : I want to know if there is a fistula that had formed at the site of the surgery
User : yes might be that is the reason its leaking and accumulating in between the scal and skull above the eyes
User : Though the actual site of injury is much above on left centre of the skull
Doctor : Ok
User : what can be done next doctor.. should we wait and watch.. Is surgery safe and successful
Doctor : It is difficult to say how long to wait and what can this develop into
User : yes but we are really worried
User : yes right.
Doctor : We just need to ask few questions if we go for surgery, are we doing a preemptive intervention before the CSF leaks stop by itself
User : though our doctor has said we should wait for 2 days and then only he will suggest next step
User : he said even if its leaking little bit now , ther could be a chance leaks hae started healing
User : and may take 2 days to heal
Doctor : Ok
Doctor : What is the CSF pressure now
Doctor : Is there less pressure
User : its normal range
User : I mean above 15 mm
User : I am not to sure the measuring units
Doctor : ok
User : not yet
User : he hasn't mentioned anything about the next step
User : he is still positive on csf leak repair
Doctor : Did the doctor say anything about epidural blood patch procedures
Doctor : Ok
Doctor : I should be less experienced than the neurosurgeon you are following up with, so I better suggest him to decide when to operate on
User : ok thanks!! doctor will stay on his advice then
User : but thanks for all your guidance
User : i am really worried though
User : bye
Doctor : I understand sometimes time has the answers
Doctor : So in your case too
Doctor : I hope I have been of some help to you
Doctor : Bye for now
User : Hi
Doctor : Hi
User : who is this
Doctor : Are y ou back?
User : Hi Doctor. It seems I pressed the wrong link
User : sorry
Doctor : Ok
Doctor : No problem
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