| Autor: |
Nolan, Winslow, Sonia, Pulido, Jonathan, Garst, Andres, Maldonado |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Clinical Neurology and Neurosurgery. 213:107104 |
| ISSN: |
0303-8467 |
| DOI: |
10.1016/j.clineuro.2021.107104 |
| Popis: |
Vagus nerve stimulation is a therapy indicated for some patients with medically-refractory epilepsy. Typical risks of this procedure include infection, hoarseness, vocal cord dysfunction, and hardware malfunction. Chyle leak via injury to the thoracic duct is a known complication of thoracic and head and neck surgeries-though less so in the neurosurgical literature. In severe cases, chyle leak can lead to nutritional deficiencies and immunosuppression. Management of chyle leak includes low-fat diet and pharmacological suppression of chyle production with medications such as octreotide. If leak is persistent, surgical exploration with attempted ligation of lymphatic structures is performed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect