Safety and feasibility of ultra-early lumbar puncture in patients with aneurysmal subarachnoid hemorrhage

Abstract

Objective: to evaluate the clinical efficacy and safety of ultra-early lumbar puncture drainage of cerebrospinal fluid (CSF) in patients with aneurysmal subarachnoid hemorrhage (SAH). Methods: patients (n=140) with aneurysmal SAH were randomly divided into observation group (n=70) and control group (n=70). After admission, CSF was drained by ultra-early lumbar puncture in the observation group and intermittent lumbar puncture after aneurysm operation in the control group. The incidences of early aneurysm rupture, acute hydrocephalus and delayed hydrocephalus were compared between the two groups. Results: there was no significant difference in the incidence of early-ruptured aneurysm and acute hydrocephalus between the two groups, but the incidence of delayed hydrocephalus in the observation group was significantly lower than that in the control group. Conclusion: ultra-early lumbar puncture drainage of CSF in aneurysmal SAH can effectively reduce the incidence of long-term delayed hydrocephalus and it is a safe and effective treatment.

Keywords

ultra-early lumbar puncture / aneurysmal subarachnoid hemorrhage / hydrocephalus / early-ruptured aneurysm