Turkish Neurosurgery
The Impact of Hypertonic Dextrose on Dura Mater Regeneration and Fibroblast Activity Following Experimental Cerebrospinal Fluid Leak
Omer Sahin1, Tuncer Tascioglu2, Aysegul Firat3, Huseyin Selcuk Birici4, Muzaffer Caydere2, Duran Berker Cemil2
1Bestepe State Hospital, Neurosurgery, Ankara,
2University of Health Sciences, Ankara Training and Research Hospital, Neurosurgery, Ankara,
3Hacettepe University Faculty of Medicine, Anatomy, Ankara,
4Koç University, Anatomy, Istanbul,
DOI: 10.5137/1019-5149.JTN.49101-25.3

Aim:Cerebrospinal fluid leakage is a common complication in spinal surgery. This condition can cause mortality and morbidity. After the use of dextrose in pain treatment in recent years, its healing properties have attracted attention and have been studied in detail. We organised the study to investigate the effects of 25% dextrose in a rat model of cerebrospinal fluid leakage. Material and Methods:Forty Wistar rats were included in the study. The dura mater of the rats was opened, and 25% dextrose was applied topically at a dose of 0.1 ml. Rats were sacrificed at the end of third and sixth weeks; and, pathologic and electron microscopic evaluations were performed. Results:The results of healing score and fibroblast density evaluations showed that dextrose led to a more successful healing than control subjects in early and late postoperative evaluations. In addition, electron microscopic examination showed that fibroblasts had active endoplasmic reticulum and mitochondria in a large cytoplasm, indicating increased collagen secretion. Conclusion:After dura mater injury, 25% dextrose, a cheap and accessible agent, has the potential to be used to enhance healing.

Corresponding author : Omer Sahin