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

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

Keywords

• posterior fossa
• kranioplasti
• beyin omurilik sıvısı fistülü
• amelliyat sonrası baş ağrısı
• serebellar ptoz

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

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.

Keywords

• posterior fossa
• cranioplasty
• cerebro-spinal fluid fistula
• post-operative headache
• cerebellar ptozis

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