Risk factors for new-onset shunt-dependency after craniotomies for intracranial tumors in adult patients
Autor: | Torstein R. Meling, Benjamin Lassen, Sayied Abdol Mohieb Hosainey, Eirik Helseth, John K. Hald |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Brain tumor Brain Neoplasms/surgery Ventriculoperitoneal Shunt New onset Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Craniotomy/adverse effects Craniotomy Aged Aged 80 and over Hydrocephalus/etiology/surgery Adult patients Brain Neoplasms business.industry General Medicine Middle Aged medicine.disease ddc:616.8 Hydrocephalus Surgery Radiation therapy 030220 oncology & carcinogenesis Female Choroid plexus Neurology (clinical) Neurosurgery business 030217 neurology & neurosurgery Follow-Up Studies |
Zdroj: | Neurosurgical Review, Vol. 41, No 2 (2018) pp. 465-472 |
ISSN: | 1437-2320 0344-5607 |
DOI: | 10.1007/s10143-017-0869-1 |
Popis: | The risk of developing a de novo shunt-dependent hydrocephalus (HC) after undergoing a craniotomy for brain tumor in adult patients is largely unknown. All craniotomies for intracranial tumors at Oslo University Hospital in adult patients ≥18 years of age during a 10-year period (2004-2013) were included. None were lost to follow-up. Patients who developed a shunt-dependent HC were identified by cross-linking our prospectively collected tumor database to patients with a NCSP surgical procedure code of hydrocephalus (AAF). Patients with pre-existing HC or ventriculoperitoneal (VP) shunts were excluded from the study. A total of 4401 craniotomies were performed. Of these, 46 patients (1.0%) developed de novo postoperative HC requiring a VP shunt after a median of 93 days (mean 115 days, range 6-442). Median age was 62.0 years (mean 58.9 years, range 27.3-80.9) at time of VP shunt surgery. Patients without pre-existing HC had a 0.2% (n = 8/4401) risk of becoming VP shunt dependent within 30 days and 0.5% (n = 22/4401) within 90 days. Age, sex, tumor location, primary/secondary surgery, and radiotherapy were not associated with VP shunt dependency. Choroid plexus tumors and craniopharyngiomas had increased risk of VP shunt dependency. In this large, contemporary, single-institution consecutive series, the risk of postoperative shunt-dependency after craniotomies for brain tumors without pre-existing HC was very low. This is the largest study with regards to de novo postoperative shunt-dependency after craniotomies for patients with intracranial tumors and can serve as a benchmark for future studies. |
Databáze: | OpenAIRE |
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