Functional status of surgically treated pineal cyst patients
| Autor: | Julio C. Resendiz-Nieves, Szymon Baluszek, Sajjad Muhammad, Roberto Colasanti, Joham Choque-Velasquez, Juha Hernesniemi |
|---|---|
| Přispěvatelé: | Clinicum, HUS Neurocenter, Neurokirurgian yksikkö |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Total population Sitting 3124 Neurology and psychiatry 03 medical and health sciences Paramedian supracerebellar infratentorial approach 0302 clinical medicine Modified Rankin Scale Pineal Cyst Medicine Surgical approach Adult patients business.industry Functional status Sitting position 3. Good health Surgery 030220 oncology & carcinogenesis Radiological weapon Pineal cyst Original Article Neurology (clinical) Microneurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2229-5097 |
| Popis: | Background:Microsurgical removal represents a well-accepted treatment option for symptomatic benign pineal cysts (PCs). However, very few studies have quantitatively evaluated the functional status of surgically treated PC patients.Methods:A detailed analysis of preoperative, immediate postoperative, and long-term clinical and radiological characteristics was performed. The functional status of the patients was categorized using the modified Rankin scale (mRS) and the Chicago Chiari Outcome Scale (CCOS). In addition, a comparative analysis between pediatric and adult patients with PCs was carried out.Results:Overall, pediatric patients experienced better long-term mRS scores than adults. The differences between the pre-, the immediate post-, and the last postoperative mRS of the patients were statistically significant for the total population (P< 0.001). All patients obtained a CCOS of 11 or more, which reflects a good/optimal result after microneurosurgery. The type of the surgical approach was independently associated with the postoperative complications (P< 0.01), more frequently reported with the midline supracerebellar infratentorial (SCIT) approach than with its paramedian modification.Conclusion:The functional status of properly selected symptomatic patients with PCs may improve significantly after their surgical management through a paramedian SCIT approach in sitting position. |
| Databáze: | OpenAIRE |
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