Postoperative CT scans after resection of brain metastases: neurosurgical routine or added value?

Yang, Kaiyun; Landry, Alexander P; Aljoghaiman, Majid; Gutiérrez, Enrique; Millesi, Matthias; Leite, M.C.N.A.; Kalyvas, Aristotelis; Jablonska, Paola Anna; Vialet, Jaclyn; Weiss, Jessica; Millar, Barbara‐Ann; Conrad, Tatianna; Laperrière, Normand; Bernstein, Mark; Zadeh, Gelareh; Shultz, David; Kongkham, Paul

doi:10.1007/s11060-022-03957-1

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…18,19 In addition, many studies have shown no need for early postoperative CT scans for elective neurosurgery. [20][21][22] Nevertheless, new ndings in postoperative CT scans in patients submitted to brain trauma surgery are common (15.6%-40%), especially in patients sustaining ASDH or submitted to decompressive craniectomy. [23][24][25] Therefore, we believe that a postoperative CT scan after a brain trauma patient should be performed on every patient, even if they have intracranial pressure (ICP) monitoring implanted.…”

Section: Discussionmentioning

confidence: 99%

Sequential changes in Rotterdam Scoring System in patients submitted to acute subdural hematoma evacuation

Oliveira

Gonçalves

Cabral

et al. 2023

Preprint

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Background: Rotterdam Scoring System (RSS) is a head computed tomography (CT) -based system for evaluating Traumatic brain injury (TBI). This system provides a better estimation of disease prognosis. Our objective was to study the sequential changes in RSS following the evacuation of acute subdural hematoma (ASDH) and evaluate if these changes were associated with 14-day mortality and in-hospital mortality. Methods: This is a retrospective study from a prospective database registry of TBI patients. Results: Pre-and Post-op RSS represented a higher association with 14-day mortality (p=0.01 and p=0.004, respectively)) and in-hospital mortality (p=0.01 and p=0.001, respectively). Pupils and post-op RSS were the independent predictors for in-hospital mortality (OR=1.99, 95%CI 1.14-3.48, p=0.015). Conclusion: The postoperative RSS is a promising tool for evaluating prognosis in patients submitted to the evacuation of ASDH.

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