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Brain tumor postoperative complications

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https://www.readbyqxmd.com/read/27863971/systemic-inaccuracies-in-the-national-surgical-quality-improvement-program-database-implications-for-accuracy-and-validity-for-neurosurgery-outcomes-research
#1
John D Rolston, Seunggu J Han, Edward F Chang
The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) provides a rich database of North American surgical procedures and their complications. Yet no external source has validated the accuracy of the information within this database. Using records from the 2006 to 2013 NSQIP database, we used two methods to identify errors: (1) mismatches between the Current Procedural Terminology (CPT) code that was used to identify the surgical procedure, and the International Classification of Diseases (ICD-9) post-operative diagnosis: i...
November 15, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27857859/emergency-decompressive-craniectomy-after-removal-of-convexity-meningiomas
#2
Paolo Missori, Maurizio Domenicucci, Sergio Paolini, Cristina Mancarella, Serena Tola, Alessandro D'Elia, Nicola Marotta, Arsen Seferi, Vincenzo Esposito
BACKGROUND: Convexity meningiomas are benign brain tumors that are amenable to complete surgical resection and are associated with a low complication rate. The aim of this study was to identify factors that result in acute postoperative neurological worsening after the removal of convexity meningiomas. METHODS: Clinical evaluation and neuroradiological analysis of patients who underwent removal of a supratentorial convexity meningioma were reviewed. Patients were selected when their postoperative course was complicated by acute neurological deterioration requiring decompressive craniectomy...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27822109/the-danish-neuro-oncology-registry
#3
REVIEW
Steinbjørn Hansen
AIM OF DATABASE: The Danish Neuro-Oncology Registry (DNOR) was established by the Danish Neuro-Oncology Group as a national clinical database. It was established for the purpose of supporting research and development in adult patients with primary brain tumors in Denmark. STUDY POPULATION: DNOR has registered clinical data on diagnostics and treatment of all adult patients diagnosed with glioma since January 1, 2009, which numbers approximately 400 patients each year...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27813467/complications-of-ventricular-entry-during-craniotomy-for-brain-tumor-resection
#4
Jessin K John, Adam M Robin, Aqueel H Pabaney, Richard A Rammo, Lonni R Schultz, Neema S Sadry, Ian Y Lee
OBJECTIVE Recent studies have demonstrated that periventricular tumor location is associated with poorer survival and that tumor location near the ventricle limits the extent of resection. This finding may relate to the perception that ventricular entry leads to further complications and thus surgeons may choose to perform less aggressive resection in these areas. However, there is little support for this view in the literature. This study seeks to determine whether ventricular entry is associated with more complications during craniotomy for brain tumor resection...
November 4, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27771109/cerebellopontine-angle-gangliogliomas-report-of-two-cases
#5
S Boissonneau, L-M Terrier, S De La Rosa Morilla, L Troude, J P Lavieille, P-H Roche
BACKGROUND: Gangliogliomas are rare tumors of the central nervous system. We report two unusual cases of gangliogliomas located in the cerebellopontine angle (CPA). POPULATION AND METHODS: The first patient was a 57-year-old woman, who presented with dizziness and harbored a non-enhanced heterogeneous mass located in the cisternal space of the CPA. A partial microsurgical removal was performed, and the pathological examination concluded a grade I ganglioglioma according to the WHO Classification...
October 19, 2016: Neuro-Chirurgie
https://www.readbyqxmd.com/read/27764877/venous-thromboembolism-in-patients-undergoing-craniotomy-for-brain-tumors-a-u-s-nationwide-analysis
#6
David J Cote, Heloise M Dubois, Aditya V Karhade, Timothy R Smith
Background Patients who undergo craniotomy for brain tumor have an increased risk of developing venous thromboembolism (VTE). Using the National Surgical Quality Improvement Program (NSQIP) registry, patients undergoing craniotomy for brain tumor from 2006 and 2014 were analyzed to identify risk factors for postoperative VTE. Methods The study population, identified by Current Procedural Terminology codes, included all NSQIP-reported patients who underwent a craniotomy for brain tumor resection. Results There were 629 instances of VTE among 19,409 craniotomies for brain tumor (3...
October 20, 2016: Seminars in Thrombosis and Hemostasis
https://www.readbyqxmd.com/read/27756677/dominant-occipital-sinus-complicating-surgery-4th-ventricular-mass
#7
Ceren Kizmazoglu, Joung H Lee, Burak Sade
BACKGROUND: This paper describes a case of 4th ventricular mass, whose management had to be modified due to a rare variation of the occipital sinus (OS). CLINICAL DESCRIPTION: 32 year-old female presented with persistent headache and nausea. MRI showed a 4th ventricular mass and hydrocephalus. Venous sinus anatomy appeared unusual, thus an MRV was performed. MRV revealed the OS as the main drainage pathway for the whole brain, providing the only drainage between the superior sagittal sinus and the jugular veins through the marginal sinus (MS)...
October 15, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27690658/laser-interstitial-thermal-therapy-followed-by-minimal-access-transsulcal-resection-for-the-treatment-of-large-and-difficult-to-access-brain-tumors
#8
James Wright, Jessey Chugh, Christina Huang Wright, Fernando Alonso, Alia Hdeib, Haley Gittleman, Jill Barnholtz-Sloan, Andrew E Sloan
OBJECTIVE Laser interstitial thermal therapy (LITT), sometimes referred to as "stereotactic laser ablation," has demonstrated utility in a subset of high-risk surgical patients with difficult to access (DTA) intracranial neoplasms. However, the treatment of tumors larger than 10 cm(3) is associated with suboptimal outcomes and morbidity. This may limit the utility of LITT in dealing with precisely those large or deep tumors that are most difficult to treat with conventional approaches. Recently, several groups have reported on minimally invasive transsulcal approaches utilizing tubular retracting systems...
October 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27686505/fatal-superior-sagittal-sinus-and-torcular-thrombosis-after-vestibular-schwannoma-surgery-report-of-a-rare-complication-and-review-of-the-literature
#9
Dattaraj Paramanand Sawarkar, Satish Kumar Verma, Pankaj Kumar Singh, Ramesh Doddamani, Amandeep Kumar, Bhawani Shanker Sharma
BACKGROUND: Cerebral venous sinus thrombosis (CVST) is a rare condition with the potential to cause severe morbidity and mortality. CVST can also occur after vestibular schwannoma (VS) surgery with the thrombosis of transverse and sigmoid sinus. However, there is not a single report of superior sagittal sinus (SSS) thrombosis after VS surgery reported in the literature. CASE DESCRIPTION: A 45-year-old woman presented to our center with large left-sided solid cystic VS...
September 28, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27591858/incidence-and-risk-factors-of-subdural-hematoma-after-intraoperative-cerebrospinal-fluid-leakage-during-the-transsphenoidal-approach
#10
Kazuhito Takeuchi, Tadashi Watanabe, Tetsuya Nagatani, Yuichi Nagata, Jonsu Chu, Toshihiko Wakabayashi
PURPOSE: The transsphenoidal approach (TSA) is regarded as the first line of treatment for sellar and suprasellar lesions. There are only few case reports of postoperative subdural hematoma after TSA and extended transsphenoidal approach (eTSA), and the detailed incidence and risk factors for this complication are still unknown. We reviewed the incidence and risk factors for subdural hematoma after TSA and eTSA. METHODS: Between January 1, 2013 and December 31, 2014, 165 consecutive patients underwent TSA or eTSA at Nagoya University Hospital and Nagoya Daini Red Cross Hospital...
December 2016: Pituitary
https://www.readbyqxmd.com/read/27586319/-cardiac-angiosarcoma-with-acute-myocardial-infarction-due-to-tumor-embolism-report-of-a-case
#11
Yusuke Date, Katsuyuki Miyazu, Masahiro Ikeda
We report the case of a 28-year-old man with a rare angiosarcoma complicated by acute myocardial infarction secondary to tumor embolism. He was transported to our emergency unit because of sudden onset of chest pain. The echocardiography showed a 42×60 mm mass in the left ventricle, and the coronary angiography showed embolic occlusion of the proximal left anterior descending and circumflex arteries. Emergent surgical removal of the mass was attempted under cardiopulmonary bypass, concomitant with double coronary artery bypass grafting and mitral valve replacement with a mechanical prosthesis...
September 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/27583904/lessons-from-surgical-outcome-for-intracranial-meningioma-involving-major-venous-sinus
#12
Moon-Soo Han, Yeong-Jin Kim, Kyung-Sub Moon, Kyung-Hwa Lee, Jung-In Yang, Woo Dae Kang, Sa-Hoe Lim, Woo-Youl Jang, Tae-Young Jung, In-Young Kim, Shin Jung
Intracranial meningiomas involving the major venous sinus (MVS) pose several complication risks upon performing radical resection. Some surgeons consider MVS invasion a contraindication for a complete resection of meningioma, and others suggest total resection followed by venous reconstruction. The aim of the study was to analyze our surgical results and discuss management strategy for intracranial meningiomas involving the MVS. Between 1993 and 2011, 107 patients with intracranial meningiomas involving MVS underwent surgery in our institution...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27580930/predictors-of-morbidity-and-cleavage-plane-in-surgical-resection-of-pure-convexity-meningiomas-using-cerebrospinal-fluid-sensitive-image-subtraction-magnetic-resonance-imaging
#13
José Luis Thenier-Villa, Raúl Alejandro Galárraga Campoverde, Adolfo Ramón DE LA Lama Zaragoza, Cesáreo Conde Alonso
Meningiomas are the most common primary intracranial tumors. Since the adhesions in the plane of dissection are of interest in surgical planning, we suggest that digital image subtraction of FLAIR data from the T2 sequence of MRI may represent better the CSF spaces in the brain-tumor interface and may be a predictor of the intraoperative cleavage plane. From 2006 to 2016, 83 convexity meningiomas were resected in the Department of Neurosurgery of the University Hospital Complex of Vigo, an analysis of preoperative MRI was performed to assess peritumoral edema (PTE), tumor volume, among others; a digital subtraction of T2-FLAIR sequences was performed and analyzed in relationship to the cleavage plane described in the intraoperative report and postoperative neurological deficits...
August 31, 2016: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/27500773/-mini-orbitozygomatic-craniotomy-in-surgery-for-supratentorial-aneurysms-and-tumors-of-the-anterior-and-middle-cranial-fossae
#14
R S Dzhindzhikhadze, O N Dreval', V A Lazarev, R L Kambiev
UNLABELLED: Progress in microneurosurgical techniques, neuroanesthesiology, and intraoperative imaging enables surgery using small incisions and craniotomy, in accordance with the keyhole surgery concept. Supraorbital craniotomy is the most widespread minimally invasive approach. There are a number of supraorbital craniotomy modifications, regarding different soft tissue incisions and the extent of craniotomy. We present the first results of using mini-orbitozygomatic craniotomy for aneurysms of the anterior circle of Willis and space-occupying lesions of the anterior and middle cranial fossae performed through an eyebrow incision...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/27476150/surgical-intervention-and-perioperative-risk-factors-of-retroperitoneal-teratomas-in-children-a-single-institution-experience
#15
Shigehisa Fumino, Junnosuke Maniwa, Yuki Takeuchi, Kohei Sakai, Mayumi Higashi, Shigeyoshi Aoi, Taizo Furukawa, Osamu Kimura, Tatsuro Tajiri
PURPOSE: Retroperitoneal teratomas (RTs) are rare among germ cell tumors and predominantly occur in infants. RTs are often difficult to manage by perioperative management. In this study, we retrospectively reviewed our series of RTs. METHODS: Seventy patients with germ cell tumors were treated from 1989 to 2015 in our institution. Fourteen patients had RTs (3 boys and 11 girls). The median age at diagnosis was 5.5 months (range 0-64), and three were antenatally diagnosed...
September 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27450764/intraoperative-fluorescein-staining-for-benign-brain-tumors
#16
Krasimir Minkin, Emanuil Naydenov, Kaloyan Gabrovski, Petia Dimova, Marin Penkov, Rositsa Tanova, Sevdelin Nachev, Kiril Romanski
OBJECTIVE: Successful use of high-dose fluorescein-sodium (20mg/kg) with a standard light microscope for resection of high-grade gliomas, meningiomas, hemangioblastoma and metastases was reported. The principle of brain tumor staining by fluorescein-sodium (Fl-Na) consists in the accumulation of fluorescein in brain tumors with impaired blood-brain barrier. The aim of our study was to investigate for the first time the usefulness of high-dose fluorescein in patients operated on for benign neuroepithelial brain tumors (grade I WHO tumors) with contrast enhancement on magnetic resonance imaging...
October 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27399494/215%C3%A2-postoperative-stereotactic-radiosurgery-vs-observation-for-completely-resected-brain-metastases-results-of-a-prospective-randomized-study
#17
Ganesh Rao, Salmaan Ahmed, Kenneth Hess, Anita Mahajan
INTRODUCTION: Stereotactic radiosurgery to a surgical cavity (SRS-cav) to improve local control (LC) after resection of brain metastases (BM) is an alternative to adjuvant whole brain radiotherapy (WBRT). There is limited prospective data regarding efficacy of SRS-cav for LC. METHODS: Patients with 1 to 3 BMs with complete resection of at least one were randomly assigned to SRS-cav or observation (OBS) of the cavity(ies). We stratified by number of BMs, histology, and volume...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27380578/alloderm-covering-over-titanium-cranioplasty-may-minimize-contour-deformities-in-the-frontal-bone-position
#18
Mansher Singh, Joseph A Ricci, Ian F Dunn, Edward J Caterson
BACKGROUND: Titanium cranioplasty is commonly used for surgical closure of skull defects post craniectomy. Superficial implantation of the mesh can result in discomfort, palpability, and in extreme patients, exposure of the mesh. Exposed titanium mesh can be complicated by infections and often requires implant revision or removal. Generally, the contour of the titanium mesh is camouflaged in the hairline of the patient and any aesthetic complication can remain inconspicuous. However, in the frontal bone position the thin hairless forehead skin often may not easily hide the contour of the underlying titanium mesh...
July 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27373936/the-role-of-surgical-resection-in-patients-with-single-large-brain-metastases-feasibility-morbidity-and-local-control-evaluation
#19
Federico Pessina, Pierina Navarria, Luca Cozzi, Anna Maria Ascolese, Giulia Maggi, Marco Rossi, Marco Riva, Marta Scorsetti, Lorenzo Bello
OBJECTIVE: The aim of this study was to evaluate the safety and the feasibility of surgery for single large brain metastases. METHODS: This retrospective study included 69 patients. All received a "supramarginal resection" according with functional boundaries, defined as a microsurgical excision with an extension larger at least 5 mm than enhancing T1 weighted magnetic resonance imaging (MRI) sequences borders with dural attachment radicalization. Hypofractionated stereotactic radiosurgery on the tumor bed, using 30Gy in three fractions, was performed within one month after surgery...
June 30, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27257839/complication-avoidance-in-laser-interstitial-thermal-therapy-lessons-learned
#20
Rachel Pruitt, Alexander Gamble, Karen Black, Michael Schulder, Ashesh D Mehta
OBJECTIVE Complications of laser interstitial thermal therapy (LITT) are underreported. The authors discuss how they have modified their technique in the context of technical and treatment-related adverse events. METHODS The Medtronic Visualase system was used in 49 procedures in 46 patients. Between 1 and 3 cooling catheters/laser fiber assemblies were placed, for a total of 62 implanted devices. Devices were placed using frameless stereotaxy (n = 3), frameless stereotaxy with intraoperative MRI (iMRI) (n = 9), iMRI under direct vision (n = 2), MRI alone (n = 1), or frame-based (n = 47) techniques...
June 3, 2016: Journal of Neurosurgery
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