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Posterior fossa cerrahisinde kraniyoplasti yapılan ve yapılmayan 62 hastada BOS fistülü, postoperatif baş ağrısı, serebellar pitozis gelişimi ve tedavisi

Year 2023, , 141 - 149, 16.03.2023
https://doi.org/10.31832/smj.1220796

Abstract

Amaç: Posterior fossa cerrahi yaklaşımları nöro-glial tümörler, vestibüler Schwannomlar, inklüzyon tümörleri, meningiomlar gibi çeşitli tümörlere ve vasküler lezyonlara ulaşmak için kullanılmaktadır
Yöntem ve Gereçler: 2014-2018 yılları arasında Nöroşirürji Kliniği'nde infratentoryal intrakranial kitle lezyonu nedeniyle opere edilen toplam 62 hasta çalışmaya dahil edildi.
Bulgular: Çalışma 2014-2018 yılları arasında %61,3 (n=38) erkek ve %38,72 (n=24) kadın olmak üzere 62 hasta ile gerçekleştirildi. Hastaların %33,9'una (n=21) kraniyoplasti yapılırken, 66,1 % (n=41) kranyoplasti geçirmedi.
Sonuç: Bizim bu çalışmamız, kranioplastinin baş ağrısı ve serebellar ektopi için yararlı olduğunu ancak BOS fistül gelişimini önlemede yetersiz olduğunu düşündürmektedir

References

  • 1. Aslantürk Y, Yılmaz N, Ökten AI, Akbay FY, Basmacı M, Taşkın Y. Posterior Fossa Tümörlerinde Cerrahi Tedavi Sonuçları. Van Tıp Dergisi. 2006; 13 (1):4-8. https://vantipderg.org/jvi.aspx?pdir=vtd&plng=tur&un=VTD-71091
  • 2. Ling PY, Zachary S, Rohit K, Jyung RW, Liu JK. Reconstruction after retrosigmoid approaches using autologous fat graft-assisted Medpor Titan cranioplasty: assessmentof postoperative cerebrospinal fluid leaks and headachesin 60 cases. Acta Neurochir. 2014; 156:1879–1888. DOI: 10.1007/s00701-014-2190-x
  • 3. Castaño-Leon AM, Cepeda S, Paredes I. Symptomatic ptosis cerebelli after suboccipital craniectomy in a patient with severe brain trauma. Brain injury. 2017;31(10):1294-1297. DOI: 10.1080/02699052.2017.1309571
  • 4. Holly LT, Batzdorf U. Management of cerebellar ptosis following craniovertebral decompression for Chiari I malformation. J Neurosurg. 2001; 94:21–6. DOI: 10.3171/jns.2001.94.1.0021
  • 5. Heller JB, Lazareff J, Gabbay JS, Lam S, Kawamoto HK, Bradley JP. Posterior cranial fossa box expansion leads to resolution of symptomatic cerebellar ptosis following Chiari I malformation repair. J Craniofac Surg. 2007;18:274–80. DOI: 10.1097/scs.0b013e31802c05ab
  • 6. Udani V, Holly LT, Chow D, Batzdorf . Posterior fossa recon- struction using titanium plate for the treatment of cerebellar ptosis after decompression for Chiari malformation. World Neurosurg. 2014; 81:836–41. DOI: 10.1016/j.wneu.2013.01.081
  • 7. Catalano PJ, Jacobowitz O, Post KD. Prevention of headache after retrosigmoid removal of acoustic tumors. Am J Otol. 1996; 17:904–908. https://pubmed.ncbi.nlm.nih.gov/8915420
  • 8. Moreira-Gonzalez A, Jackson IT, Miyawaki T, Barakat K, DiNick V. Clinical outcome in cranioplasty: critical review in long-term follow-up. J Cranio fac Surg. 2003; 14:144–153. DOI: 10.1097/00001665-200303000-00003
  • 9. Aydin S, Kucukyuruk B, Abuzayed B, Aydin S, Sanus GZ. Cranioplasty. Review of materials and techniques. J Neurosci Rural Pract. 2011; 2:162–167. doi: 10.4103/0976-3147.83584
  • 10. Elhammady MS, Telischi FF, Morcos JJ. Retrosigmoidap- proach: indications, techniques, and results. Otolaryngol Clin North Am. 2012; 45:375–397. DOI: 10.1016/j.otc.2012.02.001
  • 11. Charalampakis S, Koutsimpelas D, Gouveris H, Mann W. Post-operative complications after removal of sporadic vestibular schwannoma via retrosigmoid-suboccipital approach: current diagnosis and management. Eur Arch Oto-Rhino-L. 2011, 268:653–660. DOI: 10.1007/s00405-010-1480-z
  • 12. Wazen JJ, Sisti M, Lam SM. Cranioplasty in acoustic neuroma surgery. Laryngoscope. 2000; 110:1294–1297. DOI: 10.1097/00005537-200008000-00013
  • 13. Schaller B, Baumann A. Headache after removal of vestibular schwannoma via the retrosigmoid approach: a long-term follow-up- study. Otolaryng Head Neck Surg. 2003; 128:387–395. DOI: 10.1067/mhn.2003.104
  • 14. Soumekh B, Levine SC, Haines SJ, Wulf JA. Retrospective study of postcraniotomy headaches in suboccipital approach: diag- nosis and management. Am J Otol. 1996; 17:617–619. https://pubmed.ncbi.nlm.nih.gov/8841709/
  • 15. Williams B. A critical appraisal of posterior fossa surgery for communicating syringomyelia. Brain. 1978; 101:223–50. DOI: 10.1093/brain/101.2.223
  • 16. Duddy MJ, Williams B. Hindbrain migration after decompression for hindbrain hernia: a quantitative assessment using MRI. Br J Neurosurg. 1991; 5:141–52. DOI: 10.3109/02688699108998460
  • 17. Sahuquillo J, Rubio E, Poca MA, Rovira A, Rodriguez-Baeza A, Cervera C. Posterior fossa reconstruction: a surgical tech- nique for the treatment of Chiari I malformation and Chiari I/ syringomyelia complex – preliminary results and magnetic resonance imaging quantitative assessment of hindbrain migration. Neurosurgery. 1994; 35:874–884. DOI: 10.1227/00006123-199411000-00011
  • 18. Batzdorf U, McArthur DL, Bentson JR. Surgical treatment of Chiari malformation with and without syringomyelia: experi- ence with 177 adult patients. J Neurosurg. 2013; 118:232–242. DOI: 10.3171/2012.10.JNS12305

Development and treatment of CSF fistula, post-operative headache, cerebellar ptosis in 62 patients who underwent posterior fossa cranioplasty or not following posterior fossa surgery

Year 2023, , 141 - 149, 16.03.2023
https://doi.org/10.31832/smj.1220796

Abstract

Objective: The approaches in posterior fossa surgery are used for accessing various tumors and vascular lesions including neuro-glial tumors, vestibular Schwannomas, inclusion tumors, meningiomas.
Materials and Methods: A total of 62 patients who underwent operation due to infra-tentorial intra-cranial mass lesion in Neuro-Surgery Clinic between 2014 and 2018 were included in the study.
Result: The study was conducted with 62 patients of whom 61.3% (n=38) were males and 38.72% (n=24) were females between 2014 and 2018. While 33.9% (n=21) of the patients underwent cranioplasty, 66.1% (n=41) did not undergo cranioplasty.
Conclusion: The preliminary study suggests that cranioplasty is useful for headache and cerebellar ectopy however insufficient for prevention of CNF fistula development.

References

  • 1. Aslantürk Y, Yılmaz N, Ökten AI, Akbay FY, Basmacı M, Taşkın Y. Posterior Fossa Tümörlerinde Cerrahi Tedavi Sonuçları. Van Tıp Dergisi. 2006; 13 (1):4-8. https://vantipderg.org/jvi.aspx?pdir=vtd&plng=tur&un=VTD-71091
  • 2. Ling PY, Zachary S, Rohit K, Jyung RW, Liu JK. Reconstruction after retrosigmoid approaches using autologous fat graft-assisted Medpor Titan cranioplasty: assessmentof postoperative cerebrospinal fluid leaks and headachesin 60 cases. Acta Neurochir. 2014; 156:1879–1888. DOI: 10.1007/s00701-014-2190-x
  • 3. Castaño-Leon AM, Cepeda S, Paredes I. Symptomatic ptosis cerebelli after suboccipital craniectomy in a patient with severe brain trauma. Brain injury. 2017;31(10):1294-1297. DOI: 10.1080/02699052.2017.1309571
  • 4. Holly LT, Batzdorf U. Management of cerebellar ptosis following craniovertebral decompression for Chiari I malformation. J Neurosurg. 2001; 94:21–6. DOI: 10.3171/jns.2001.94.1.0021
  • 5. Heller JB, Lazareff J, Gabbay JS, Lam S, Kawamoto HK, Bradley JP. Posterior cranial fossa box expansion leads to resolution of symptomatic cerebellar ptosis following Chiari I malformation repair. J Craniofac Surg. 2007;18:274–80. DOI: 10.1097/scs.0b013e31802c05ab
  • 6. Udani V, Holly LT, Chow D, Batzdorf . Posterior fossa recon- struction using titanium plate for the treatment of cerebellar ptosis after decompression for Chiari malformation. World Neurosurg. 2014; 81:836–41. DOI: 10.1016/j.wneu.2013.01.081
  • 7. Catalano PJ, Jacobowitz O, Post KD. Prevention of headache after retrosigmoid removal of acoustic tumors. Am J Otol. 1996; 17:904–908. https://pubmed.ncbi.nlm.nih.gov/8915420
  • 8. Moreira-Gonzalez A, Jackson IT, Miyawaki T, Barakat K, DiNick V. Clinical outcome in cranioplasty: critical review in long-term follow-up. J Cranio fac Surg. 2003; 14:144–153. DOI: 10.1097/00001665-200303000-00003
  • 9. Aydin S, Kucukyuruk B, Abuzayed B, Aydin S, Sanus GZ. Cranioplasty. Review of materials and techniques. J Neurosci Rural Pract. 2011; 2:162–167. doi: 10.4103/0976-3147.83584
  • 10. Elhammady MS, Telischi FF, Morcos JJ. Retrosigmoidap- proach: indications, techniques, and results. Otolaryngol Clin North Am. 2012; 45:375–397. DOI: 10.1016/j.otc.2012.02.001
  • 11. Charalampakis S, Koutsimpelas D, Gouveris H, Mann W. Post-operative complications after removal of sporadic vestibular schwannoma via retrosigmoid-suboccipital approach: current diagnosis and management. Eur Arch Oto-Rhino-L. 2011, 268:653–660. DOI: 10.1007/s00405-010-1480-z
  • 12. Wazen JJ, Sisti M, Lam SM. Cranioplasty in acoustic neuroma surgery. Laryngoscope. 2000; 110:1294–1297. DOI: 10.1097/00005537-200008000-00013
  • 13. Schaller B, Baumann A. Headache after removal of vestibular schwannoma via the retrosigmoid approach: a long-term follow-up- study. Otolaryng Head Neck Surg. 2003; 128:387–395. DOI: 10.1067/mhn.2003.104
  • 14. Soumekh B, Levine SC, Haines SJ, Wulf JA. Retrospective study of postcraniotomy headaches in suboccipital approach: diag- nosis and management. Am J Otol. 1996; 17:617–619. https://pubmed.ncbi.nlm.nih.gov/8841709/
  • 15. Williams B. A critical appraisal of posterior fossa surgery for communicating syringomyelia. Brain. 1978; 101:223–50. DOI: 10.1093/brain/101.2.223
  • 16. Duddy MJ, Williams B. Hindbrain migration after decompression for hindbrain hernia: a quantitative assessment using MRI. Br J Neurosurg. 1991; 5:141–52. DOI: 10.3109/02688699108998460
  • 17. Sahuquillo J, Rubio E, Poca MA, Rovira A, Rodriguez-Baeza A, Cervera C. Posterior fossa reconstruction: a surgical tech- nique for the treatment of Chiari I malformation and Chiari I/ syringomyelia complex – preliminary results and magnetic resonance imaging quantitative assessment of hindbrain migration. Neurosurgery. 1994; 35:874–884. DOI: 10.1227/00006123-199411000-00011
  • 18. Batzdorf U, McArthur DL, Bentson JR. Surgical treatment of Chiari malformation with and without syringomyelia: experi- ence with 177 adult patients. J Neurosurg. 2013; 118:232–242. DOI: 10.3171/2012.10.JNS12305
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Can Yaldız 0000-0002-9523-076X

Okan Türk 0000-0002-9514-6891

Burak Tahmazoğlu 0000-0002-9248-9960

Ömer Faruk Şahin 0000-0003-4418-7236

Özgür Baran 0000-0001-8021-3580

Adil Can Karaoğlu 0000-0001-9140-3005

Mehmet Akif Ambarcıoğlu 0000-0003-0199-330X

Mustafa Kaya 0000-0002-0140-3026

Davut Ceylan 0000-0002-2056-2786

Publication Date March 16, 2023
Submission Date December 18, 2022
Published in Issue Year 2023

Cite

AMA Yaldız C, Türk O, Tahmazoğlu B, Şahin ÖF, Baran Ö, Karaoğlu AC, Ambarcıoğlu MA, Kaya M, Ceylan D. Development and treatment of CSF fistula, post-operative headache, cerebellar ptosis in 62 patients who underwent posterior fossa cranioplasty or not following posterior fossa surgery. Sakarya Tıp Dergisi. March 2023;13(1):141-149. doi:10.31832/smj.1220796

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