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...increased of stay. A 59-year-old female admitted for surgical excision of a cervical schwannoma developed a persistent postoperative CSF leak. Following multiple surgical attempts to repair the dura with concomitant lumbar drainage for decompression, a ventriculostomy with conversion to a shunt was performed. Following the procedure, the patient's wound healed completely 6 weeks after her initial surgery. Ventriculostomy is a viable option for treatment of persistent CSF wound drainage after excision of cervical schwannoma surgery.
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Benign tumors arising from the Schwann cells of nerve sheaths are called schwannomas. These tumors can occur in any part of the body, but 25%-45% tend to occur in the head and neck (Devender & Pinjala, 2006; Gooder & Farrington, 1980). The treatment of choice for these benign tumors is total resection. Dural involvement of these tumors can lead to potential alterations in wound healing including cerebrospinal fluid (CSF) leaks. The following case report outlines the course of one patient's diagnosis, surgical treatment, and recovery following excision of a cervical schwannoma with an associated CSF leak.
Case Report
A 59-year-old, white female presented as an outpatient after experiencing a 2-3 year history of progressive right shoulder, back, and upper-arm pain. Despite taking over-the-counter pain medications, the pain worsened during the year, resulting in right lateral neck and arm tingling with referral into her right lateral...
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