Risk factors governing the development of cerebral vein and dural sinus thrombosis after craniotomy in patients with intracranial tumors

Geßler, Florian; Bruder, Markus; Duetzmann, Stephan; Tritt, Stephanie; Bernstock, Joshua D.; Seifert, Volker; Senft, Christian

doi:10.3171/2016.11.jns161871

Cited by 21 publications

(25 citation statements)

References 32 publications

(39 reference statements)

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“…The authors found an overall CVT incidence of 1.53% among 2,286 reviewed charts. A multivariate analysis identified age >55 years old, semisitting position (OR 7.55, 95% CI 3.73-15.31, p < 0.001) and other known comorbidities as the main risk factors for CVT (28,29,34).…”

Section: Discussionmentioning

confidence: 99%

The Effects of Patient Positioning on the Outcome During Posterior Cranial Fossa and Pineal Region Surgery

et al. 2020

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Background: Surgery on posterior cranial fossa (PCF) and pineal region (PR) carries the risks of intraoperative trauma to the brainstem structures, blood loss, venous air embolism (VAE), cardiovascular instability, and other complications. Success in surgery, among other factors, depends on selecting the optimal patient position. Our objective was to find associations between patient positioning, incidence of intraoperative complications, neurological recovery, and the extent of surgery.Methods: This observational study was conducted in two medical centers: The Ohio State University Wexner Medical Center (USA) and The Burdenko Neurosurgical Institute (Russian Federation). Patients were distributed in two groups based on the surgical position: sitting position (SP) or horizontal position (HP). The inclusion criteria were adult patients with space-occupying or vascular lesions requiring an open PCF or PR surgery. Perioperative variables were recorded and summarized using descriptive statistics. The post-treatment survival, functional outcome, and patient satisfaction were assessed at 3 months.Results: A total of 109 patients were included in the study: 53 in SP and 56 in HP. A higher proportion of patients in the HP patients had >300 mL intraoperative blood loss compared to the SP group (32 vs. 13%; p = 0.0250). Intraoperative VAE was diagnosed in 40% of SP patients vs. 0% in the HP group (p < 0.0001). However, trans-esophageal echocardiographic (TEE) monitoring was more common in the SP group. Intraoperative hypotension was documented in 28% of SP patients compared to 9% in HP group (p = 0.0126). A higher proportion of SP patients experienced a new neurological symptom compared to the HP group (49 vs. 29%; p = 0.0281). The extent of tumor resection, postoperative 3-months survival, functional outcome, and patient satisfaction were not different in the groups.Mavarez-Martinez et al. Patient Positioning for CraniotomiesConclusions: The SP was associated with, less intraoperative bleeding, increased intraoperative hypotension, VAE, and postoperative neurological deficit. More HP patients experienced macroglossia and increased blood loss. At 3 months, there was no difference of parameters between the two groups.Clinical Trial Registration: ClinicalTrials.gov: registration number NCT03364283.

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Section: Discussionmentioning

confidence: 99%

The Effects of Patient Positioning on the Outcome During Posterior Cranial Fossa and Pineal Region Surgery

et al. 2020

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“…Many papers have reported the safety and diagnostic value of materials obtained using stereotactic biopsy [46][47][48][49][50]. The number of perioperative complications occurring during surgical resections of brain tumours remains significant [51]. Even in our neurosurgery department, a facility with a high level of experience, the performance status decreased in two out of 11 patients.…”

Section: Discussionmentioning

confidence: 99%

Biomarker concordance between molecular stereotactic biopsy and open surgical specimens in gliomas

Furtak¹,

Mielczarek²,

Szylberg³

et al. 2019

Neurol Neurochir Pol.

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Aims. To compare 1p/19q codeletion, MGMT promoter methylation, and IDH mutation status in stereotactic biopsy and open craniotomy specimens. clinical rationale. The latest WHO classification of gliomas requires assessment of the expression of molecular markers. Samples can be obtained for molecular assays via open craniotomy or molecular stereotactic biopsy (MSB). However, there is uncertainty as to whether MSB is representative of the entire tumour, and therefore how reliable it is for treatment planning.Patients and methods. We examined 11 patients diagnosed with brain tumours suspicious of glioma who underwent open craniotomy after stereotactic biopsy and in whom multiple biomarkers were assessed in both sets of samples by methylation-specific multiplex ligation-dependent probe amplification. Institutional Review Board ethical approval was granted (KB 694/2018). results. The initial histopathological grade as determined by stereotactic biopsy was the same as in the samples obtained by open surgery. Further, the marker profile used here was valid in both high-and low-grade gliomas. conclusion and clinical implication. MSB is a reliable way to obtain material for precision medicine approaches.

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“…Nurses should monitor for CSF leakage at the surgical site; if clear fluid drainage at the site is found, they should notify the surgeon. Bleeding or vascular injury can occur if ancillary vascular structures are affected by the tumor . Damage to ancillary brain structures, including cerebral contusion or infarction, can occur after the extradural retraction of the brain during the procedure …”

Section: Perioperative Carementioning

confidence: 99%

Perioperative Care of the Patient With Acoustic Neuroma

Oster¹

2018

AORN Journal

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Acoustic neuromas, also known as vestibular schwannomas, are slow-growing, benign tumors that develop on the eighth cranial nerve. Common signs and symptoms of an acoustic neuroma include hearing loss and balance disturbances. A physical examination, a hearing evaluation, and diagnostic imaging assist in the diagnosis of an acoustic neuroma. Patients with a confirmed tumor have three treatment options: observation, stereotactic radiosurgery, and surgical removal. Complications include cerebrospinal fluid leakage, damage to ancillary brain structures, facial nerve damage, and bleeding or vascular injury. This article focuses on the surgical removal of an acoustic neuroma and the role of the perioperative nurse in the perioperative care of the patient.

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Risk factors governing the development of cerebral vein and dural sinus thrombosis after craniotomy in patients with intracranial tumors

Cited by 21 publications

References 32 publications

The Effects of Patient Positioning on the Outcome During Posterior Cranial Fossa and Pineal Region Surgery

The Effects of Patient Positioning on the Outcome During Posterior Cranial Fossa and Pineal Region Surgery

Biomarker concordance between molecular stereotactic biopsy and open surgical specimens in gliomas

Perioperative Care of the Patient With Acoustic Neuroma

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