liuzhang13 ：A question to @Prof. Li Xiaoyong: Hi Prof. Li, I have never heard of cerebrospinal fluid unit in China or internationally, does it belong to neurosurgery or neurology? Prof. Li Xiaoyong: The establishment of the cerebrospinal fluid unit is based on my philosophy of cerebrospinal fluid surgery, which was developed after years of clinical cases and experience, and after nearly 20 years of repeated refinement of thinking, and was first developed from the neurosurgical problem of cerebrospinal fluid drainage infection and shunt blockage complications. The task of cerebrospinal fluid surgery is to treat cerebrospinal fluid disorders, of which hydrocephalus is only a part. In addition, there is actually no unified scientific standard for the diagnosis of hydrocephalus in China and abroad, and many cases cured or improved by cerebrospinal fluid shunts are considered by many colleagues or experts not to be hydrocephalus, so the use of cerebrospinal fluid disorders can avoid unnecessary academic controversy, at least for a period of time. For example, cerebrospinal fluid leakage is not generally considered to be hydrocephalus and is often treated with lumbar pool drainage, but it often requires a cerebrospinal fluid shunt to cure it, so it is more appropriately classified as cerebrospinal fluid disease; meningitis and tuberculous meningitis, which are generally part of neurology, as well as traumatic brain injury and cerebral hemorrhage, and many other diseases, can often be treated with cerebrospinal fluid shunts when there is intractable high cranial pressure, even if it does not meet the neuroradiological criteria for hydrocephalus When intractable high cranial pressure occurs, even if it does not meet the neuroradiological criteria for hydrocephalus, it can often be treated with cerebrospinal fluid shunts, so again, it is appropriate to refer to these diseases as cerebrospinal fluid disorders. In addition, various surgical complications of hydrocephalus or intractable hypercranial pressure due to various causes should also be considered as part of cerebrospinal fluid disorders. Therefore it is obvious that the department of cerebrospinal fluid was born out of clinical need, if not by me then by others; the first appearance of cerebrospinal fluid department in China is the result of our large population and the recent vigorous development of neurosurgery in China; it is my privilege to follow the Chinese Engineering Fellow and the famous Professor Wang Loyalty to be able to engage in the clinical training of China’s top neurosurgery in Beijing Tiantan Hospital Neurosurgery and this It is the result of the privilege to follow the clinical training of the Chinese Engineering Fellow and the famous Professor Wang Loyal in the neurosurgery department of Beijing Tiantan Hospital, where I was able to perform the top neurosurgery clinical training in China. The cerebrospinal fluid department is the junction between neurosurgery and neurology, treating both neurosurgical and neurological diseases, but it is important to make one thing clear: neurosurgical diseases in cerebrospinal fluid department are not for general neurosurgeons; similarly, neurological diseases are not for general neurologists. The cerebrospinal fluid physician has a particularly distinctive specialty. Light half picked wine slightly drunk : A question for @Professor Li Xiaoyong: Dear Professor Li, hello! What is the next step in the treatment of ventricular hemorrhage, after puncturing the frontal horn of the lateral ventricle, the midbrain water tube is not accessible and cannot be removed, and when it is removed, obstructive hydrocephalus appears and the patient becomes comatose. If ventriculo-peritoneal shunt is performed, what kind of indicators are indicated by the patient’s cerebrospinal fluid examination before ventriculo-peritoneal shunt can be performed? The general treatment strategy is basically the same as you said, to treat the cerebrospinal fluid to normal and then perform a shunt. But the technique of how to normalize the cerebrospinal fluid is the overall technique of prevention and treatment of intracranial infections. The indicators of cerebrospinal fluid, first the absence of bacteria, then the routine and biochemical findings, the closer to normal and the longer normal, the higher the success rate of performing subsequent cerebrospinal fluid shunts. Never rely too much on indicators of normal cerebrospinal fluid results at one time or once. More attention should be paid to in-depth studies on the prevention and treatment of intracranial infections and shunt-causing complications behind normal cerebrospinal fluid.