Postoperative complications after craniotomy for brain tumor surgery

Lonjaret, Laurent; Guyonnet, Marine; Bérard, Emilie; Vironneau, Marc; Peres, Françoise; Sacrista, S.; Ferrier, Anne; Ramonda, Véronique; Vuillaume, Corine; Roux, Franck‐Emmanuel; Fourcade, Olivier; Geeraerts, Thomas

doi:10.1016/j.accpm.2016.06.012

Cited by 100 publications

(91 citation statements)

References 23 publications

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“…7,8 One of its most important causes is brain tumors, which has an incidence of epilepsy reaching approximately 30%. 7,9 Patients with slowly growing chronic lesions are more likely to have seizure disorder. 10 Another important cause of AOS is CVD, seizures related to intracerebral hemorrhage and ischemic stroke.…”

Section: Introductionmentioning

confidence: 99%

Etiological profile of adult onset seizures: a hospital based prospective study from Kashmir, India

et al. 2017

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Background: Adult onset seizure (AOS) is considered the epilepsy that start after the age of 18 years. It is a common neurological disorder with multiple etiologies. Objective was to study the etiologies, diagnosis and treatment of AOS in Kashmiri population and to compare its different clinical and etiological profiles in different age groups.Methods: All patients who developed seizure after the age of 18 years were recruited in the current prospective study. In total 144 subjects with AOS were included in this study. The study was done in the Neurology unit of Sher-i-Kashmir Institute of Medical Science, Srinagar- a tertiary care hospital in Kashmir, India from August 2014 to July 2016.Results: Among the 144 recruited subjects, the 25-34 years age group was more susceptible to onset seizures. Generalized tonic-clonic seizure with a percentage of 48.8% was the most common seizure type among the studied subjects. Gender wise males were more susceptible to intracerebral hemorrhage while as cerebral venous sinus thrombosis is more common among females. Among the infection group, encephalitis was a leading causal factor in 10 (6.9%) patients and age wise younger population is more susceptible to encephalitis and central nervous system, while prion disease was more frequent in subjects with age of ≥55. On comparing various cerebrovascular diseases and seizures, ICH was responsible in most number of subjects (12.5%). MRI and EEG (59.7% and 52.8% respectively) findings were abnormal in maximum number of subjects and both findings showed statistically a significant positive correlation (r=0.73; p=<0.01).Conclusions: Idiopathic factors are the main cause of AOS with EEG and MRI being the mainstay for identifying, classifying and localizing seizures among the study patients.

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Section: Introductionmentioning

confidence: 99%

Etiological profile of adult onset seizures: a hospital based prospective study from Kashmir, India

et al. 2017

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“…(21) In this study, the incidence of headache was higher than other study that observed postoperative complications after craniotomy for brain tumor surgery. (17) Headache has moreover been identified in 60% of patients undergoing surgery for acute-on-chronic subdural hematomas in a previous study. (22) In our study, 28% of patients who underwent emergency surgery experienced headache, but it is worth mentioning that although the median rate in the Ramsay sedation scale was similar in the two groups, emergency surgery patients remained in deep sedation longer in the postoperative period, thus reducing the reports and signs of pain during this period.…”

Section: Discussionmentioning

confidence: 99%

“…Systemic complications in the postoperative period of elective neurosurgeries include nausea and vomiting, (15) hypotension, respiratory distress, (1) and surgical site infection. (16) For non-elective surgeries, pain (17) and nosocomial infections are also observed. (5) The overall mortality rate has been reported to be only 1% (1,18) after elective neurosurgery, as compared to 29% after emergency neurosurgery, (19) with postoperative complications increasing the risk of death in both groups.…”

Section: Introductionmentioning

confidence: 99%

Complicações pós-operatórias em neurocirurgia eletiva e não eletiva

Siqueira

Diccini

2017

Acta paul. enferm.

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Objective: To evaluate the incidence of postoperative complications and mortality among patients submitted to elective or non-elective neurosurgery. Methods: Prospective cohort study in adult patients, followed from preoperative period until hospital discharge or death. Results: One hundred and twenty seven patients were included in elective surgery group and 75 patients in non-elective surgery group. The elective group had more vomiting (p=0.010) and pain (p<0.001) and the non-elective group presented more intracranial hypertension (p=0.001), anisocoria (p=0.002), cerebral vasospasm (p=0.043), light-unresponsive pupil (p=0.006) and reoperation (p=0.046). The mortality rate was 5.5% in the elective surgery group and 26.7% in the non-elective surgery group (p<0.001). Conclusion: Elective procedures in neurosurgery are related to higher frequencies of systemic complications while non-elective surgeries had significantly higher rates of neurological complications and mortality. ResumoObjetivo: Avaliar a incidência de complicações pós-operatorias e mortalidade entre pacientes submetidos a neurocirurcia eletiva e não eletiva. Metodos: Estudo de coorte prospectivo com pacientes adultos, acompanhados desde o período pré-operatório até a alta hospitalar ou óbito. Resultados: Foram incluídos 127 pacientes no grupo cirúrgico eletivo e 75 pacientes no grupo cirúrgico não eletivo. O grupo eletivo teve mais vômitos (p=0,010) e dor (p<0,001) e o grupo não eletivo apresentou mais hipertensão intracraniana (p=0,001), anisocoria (p=0,002), vasoespasmo cerebral (p=0,043), pupilas não fotorreagentes (p=0,006) e reoperação (p=0,046). A taxa de mortalidade foi de 5,5% no grupo de cirurgia eletiva e 26,7% no grupo de cirurgia não eletiva (p<0,001). Conclusão: Os procedimentos eletivos em neurocirurgia estão relacionados a maior frequência de complicações sistêmicas, enquanto as cirurgias não eletivas tiveram taxas significativamente mais altas de complicações neurológicas e mortalidade.

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“…Post-operative nausea and vomiting (PONV) is a recognized complication of human neurosurgical cases, [1][2][3][4] affecting upwards of 50% of patients. [5][6][7] Although nausea is difficult to determine accurately in non-human primates (NHPs), POV immediately following surgery is occasionally observed. 8 Despite PONV being the common clinical outcome measured, often POV and post-operative nausea (PON) are examined separately.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 POV increases the risk for aspiration, cerebral hemorrhage, increased intracranial pressure, and swelling. [5][6][7] Vomiting is controlled by the central nervous system and is initiated by the emetic center which is located in the reticular formation of the medulla. Vomiting can be stimulated from four different origins: (i) afferent receptors from a variety of peripheral structures carried by the vagus and sympathetic nerves; (ii) the chemoreceptor trigger zone (CRTZ); (iii) the cerebral cortex and limbic system; and (iv) the vestibular apparatus.…”

Section: Introductionmentioning

confidence: 99%