Low-pressure CSF shunt malfunction is a poorly understood complication of hydrocephalus affecting patients of all ages. Treatment commonly requires external drainage of CSF to subatmospheric pressures for days to weeks in an intensive care setting. The current communication describes the repurposing of an established therapeutic technique, epidural blood patch, for successful initial management in 2 cases of low-pressure shunt malfunction in the absence of a recognized spinal CSF fistula. This technique may shorten length of stay and obviate potential morbidity in the management of what is otherwise a vexatious clinical problem.

中文翻译：

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硬膜外补片治疗前无腰穿的低压CSF分流器故障2例报告

低压CSF分流器功能不全是影响所有年龄段患者的脑积水并发症。在重症监护室中，治疗通常需要将脑脊液从外部引流至低于大气压，持续数天至数周。当前的通讯描述了已确立的治疗技术硬膜外补血的再利用目的，该方法可成功用于2例在缺乏公认的脊柱CSF瘘的低压分流失灵的情况下成功进行初始治疗。这项技术可以缩短住院时间并避免潜在的发病率的管理，否则这将是一个烦人的临床问题。