Dolor poscraniectomía: comparación entre 2 incisiones para el abordaje retrosigmoideo. Estudio prospectivo aleatorizado

Lorefice, Emiliano; Pont, Francisco Marcó del; Giovannini, Sebastían; Cavanagh, Sol; Goicochea, María Teresa; Cervio, Andrés

doi:10.1016/j.neucir.2020.01.003

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…We hypothesized that POH occurs more frequently in patients treated with the RS approach than in those treated with the TL approach. One reason is that drilling into the IAC during RS tumor resection increases the risk of bone dust entering the posterior fossa causing tissue reactions and, possibly, irritative arachnoiditis [2,4,[30][31][32][33][34]. Additionally, surgical incisions to the suboccipital musculature (i.e.…”

Section: Hypothetical Mechanisms Underlying Poh After Rs Versus Tlmentioning

confidence: 99%

“…Additionally, surgical incisions to the suboccipital musculature (i.e. m. occipitalis and m. trapezius) might consequently lead to ingrowth of these anatomical structures into the exposed dura in the postoperative course [2,4,[30][31][32][33][34]. This healing process can result in postoperative adherences, leading to POH as well.…”

Section: Hypothetical Mechanisms Underlying Poh After Rs Versus Tlmentioning

confidence: 99%

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Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review

Pogoda

Smeeing

Voormolen

et al. 2021

Eur Arch Otorhinolaryngol

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Purpose Postoperative headache (POH) is a complication that occurs after surgical resection of cerebellopontine angle (CPA) tumors. The two most common surgical approaches are the translabyrinthine (TL), and retrosigmoid (RS) approach. The objective of this systematic review was to investigate whether POH occurs more frequently after RS compared to TL approaches. Methods A systematic search was conducted in Cochrane, Pubmed and Embase. Studies were included if POH after CPA tumor removal was reported and both surgical approaches were compared. The methodological quality of the studies was assessed using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results In total, 3,942 unique articles were screened by title and abstract. After the initial screening process 63 articles were screened for relevance to the inquiry, of which seven studies were included. Three studies found no significant difference between both surgical approaches (p = 0.871, p = 0.120, p = 0.592). Three other studies found a lower rate of POH in the TL group compared to the RS group (p = 0.019, p < 0.001, p < 0.001). Another study showed a significantly lower POH rate in the TL group after one and six months (p = 0.006), but not after 1 year (p = 0.6). Conclusion The results of this systematic review show some evidence of a lower rate of POH in favor of the TL approach versus the RS approach for CPA tumor resection. Prospective research studies are needed to further investigate this finding.

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Section: Hypothetical Mechanisms Underlying Poh After Rs Versus Tlmentioning

confidence: 99%

Section: Hypothetical Mechanisms Underlying Poh After Rs Versus Tlmentioning

confidence: 99%

Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review

Pogoda

Smeeing

Voormolen

et al. 2021

Eur Arch Otorhinolaryngol

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Influence of Age and Sex on Post-Craniotomy Headache

Kim,

Han,

Kwon

et al. 2024

Biomedicines

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Post-craniotomy headache (PCH) is a common postoperative complication, and some of these patients progress to chronic PCH (CPCH). We aimed to identify clinical variables associated with PCH and its progression to CPCH, especially possible associations between age and sex differences. Therefore, we examined clinical information on PCH using the Clinical Data Warehouse over 10 years. Of the 1326 patients included, 927 patients (69.9%) experienced PCH. In multivariate analysis for PCH, age was inversely related to risk (p = 0.003), and being female showed a significant association with an increased risk of PCH (p = 0.002). There was also a significant inverse relationship between age and severity of the worst headache, with younger female patients reporting greater severity of the worst headache (p < 0.001). Of the 927 patients who experienced PCH, 319 (34.4%) progressed to CPCH. Sex was a significant factor, with females having a higher risk of developing CPCH compared to males (p < 0.001). In addition, the presence of preoperative headaches significantly increased the risk of CPCH (p = 0.001). The occurrence of PCH is associated with younger age and female sex. In particular, female sex and preoperative headaches increased the risk of developing CPCH. These clinical factors should be considered in patients undergoing neurosurgery.

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Dolor poscraniectomía: comparación entre 2 incisiones para el abordaje retrosigmoideo. Estudio prospectivo aleatorizado

Cited by 2 publications

References 21 publications

Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review

Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review

Influence of Age and Sex on Post-Craniotomy Headache

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