A new surgical approach to subcortical lesions: balloon inflation and cortical gluing

Hirsch, J F; Sainte‐Rose, Christian

doi:10.3171/jns.1991.74.6.1014

Cited by 32 publications

(17 citation statements)

References 13 publications

(1 reference statement)

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“…3). A novel solution to this has been proposed by Hirsch and Sainte [27]who describe closure of the corticotomy with the biological glue ‘Tisseal’ at the end of the procedure. This prevents communication between the ventricles and subdural space, and reduces the incidence of subdural hygromas.…”

Section: Discussionmentioning

confidence: 99%

Management of Choroid Plexus Tumours in Children: 20 Years Experience at a Single Neurosurgical Centre

et al. 2000

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Objective: Tumours of the choroid plexus are rare tumours of neuro-ectodermal origin, accounting for less than 1% of all intracranial tumours. Most cases present in children less than 2 years of age. While choroid plexus carcinomas (CPC) are reported to have an extremely poor prognosis, choroid plexus papillomas (CPP) are generally regarded as benign tumours with a very favourable long-term outcome. Management dilemmas are associated with the choice of surgical procedure, tumour vascularity, the treatment of hydrocephalus and the value of adjuvant therapy. The objective of this study was to review our experience with this rare tumour over a 20-year period. Methods: Patients were identified from the Great Ormond Street Neurosurgical Brain Tumour Database. Over a 20-year period (1979–1999), 34 children were identified with a choroid plexus tumour. There were 25 cases of CPP and 9 cases of CPC. A retrospective review of case notes, radiological imaging, operation reports and pathology was performed. Results: The median age at presentation was 17 months (1–138) for CPP and 13 months (2–102) for CPC. There was no sex difference for CPP. However, 8 of the 9 CPCs were male (89%). A complete surgical resection was achieved in all 25 cases of CPP and in 3 cases of CPC (33%). The median survival for CPPs was 75.5 months (2–228), with a median follow-up of 73.5 months (2–228). The median survival for CPCs was 6 months (1–90), with a median follow-up of 6 months (1–90). Conclusion: With modern neurosurgical practise, a cure should be the aim for all children with CPP. There is no evidence that adjuvant therapy has any role in the primary management of these children. However, CPC still has an extremely poor prognosis, and the efficacy of adjuvant therapy remains to be established.

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Section: Discussionmentioning

confidence: 99%

Management of Choroid Plexus Tumours in Children: 20 Years Experience at a Single Neurosurgical Centre

et al. 2000

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“…To minimize these risks in patients undergoing tumor surgery, some authors have proposed decreasing the size of the surgical corridor, inflating a glove finger, 1 or using fibrin glue on or around the corticotomy. [1][2][3] Hemispherotomy for epilepsy also includes a wide ventricular opening. Moreover, hemispheric disconnection is often indicated in patients with epilepsy secondary to prenatal vascular insult, in which the brain is very atrophic.…”

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confidence: 99%

Corticotomy Closure Avoids Subdural Collections After Hemispherotomy

Blauwblomme

Harkness

2010

Operative Neurosurgery

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“…4) Thereafter, several studies have reported the application of fibrin glue placement methods in covering unfolded sylvian fissures, so preventing postoperative subdural hygroma and contributing to the improvement of clinical outcomes in aged patients. 6,7,11,13,14) Currently, this manipulation is widely accepted as an excellent option in arachnoid plasty.…”

Section: Introductionmentioning

confidence: 99%

Allergic Reaction Following Arachnoid Plasty With a Fibrin Sealant -Case Report-

Kanazawa¹,

Sato²,

Iwamoto³

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 65-year-old woman underwent surgical treatment of an unruptured aneurysm in the left middle cerebral artery. Surgical craniotomy using arachnoid plasty with a fibrin sealant was completed without incident, but abrupt neurological deterioration occurred on the 9th postoperative day. Antibiotic treatment was given, but the symptoms did not resolve. Neuroimaging and physical findings indicated allergic reaction rather than infectious process. Therefore, systemic steroids were administered that resulted in dramatic resolution of symptoms. Nine months later, lymphocyte stimulation test of materials used in arachnoid plasty revealed positive response to a component of the combination pair in fibrin glue. The fibrin sealant placement method is a widely accepted and familiar technique, but surgeons should anticipate possible allergic reactions such as those observed in the present case.

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A new surgical approach to subcortical lesions: balloon inflation and cortical gluing

Cited by 32 publications

References 13 publications

Management of Choroid Plexus Tumours in Children: 20 Years Experience at a Single Neurosurgical Centre

Management of Choroid Plexus Tumours in Children: 20 Years Experience at a Single Neurosurgical Centre

Corticotomy Closure Avoids Subdural Collections After Hemispherotomy

Allergic Reaction Following Arachnoid Plasty With a Fibrin Sealant -Case Report-

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