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spinal fluid leak during surgery

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During the first stage of my DBS procedure, I had a spinal fluid leak and my brain shifted. The team was not able to place the second electrode at that time, due to the shift, and I had to return the following week for a second electrode placement surgery, followed by a third surgery for the stimulator placement.

 

What can cause such a spinal fluid leak and how common are they? Would a large amount of spinal fluid have to be lost for the brain to shift, or could even a small amount allow that?

 

Thanks,

Ramona

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Without being in the OR it is impossible to answer this question precisely. Spinal fluid which bathes the brain can escape during brain surgery and it rapidly (within minutes to hours regenerates). It is common to lose some during brain surgery. It is best to simply wait and do the second surgery if there is any suspicion the brain has shifted as you do not want electrode position to be affected.

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