The Correlation between the Findings of Magnetic Resonance Imaging (MRI) and Post-craniotomy Complications in Patients with Brain Tumor

Document Type : Original Article (s)

Authors

1 Fellowship in Neuroanesthesiology, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Radiologist, Department of Radiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: We investigated the correlation between the findings of magnetic resonance imaging (MRI) and post-craniotomy complications in patients with brain tumor.Methods: Patients undergoing craniotomy for resection of brain tumor were monitored for post-operation complication such as delayed extubation, seizure, nausea, vomiting, headache and shivering; data on the findings of pre-operation MRI were also obtained and the correlations were analyzed.Findings: 137 patients entered the study. The prevalence of post-operation complications and related radiologic findings in patients with that complication were as delayed extubation with midline shift, cerebral edema and mass effect 43.8%, post-operation headache with hydrocephalus 40.9%, shivering with hydrocephalus and cystic component 41.6%, post operation nausea with midline shift, cerebral edema, mass effect and cystic component 38% and new neurologic deficit with multifocal tumor 8.8%. Furthermore, there were correlation between age and post operation vomiting also female gender and new neurologic deficit.Conclusion: Post-operation complications and related radiologic findings were as delayed extubation with midline shift, cerebral edema and mass effect, headache with hydrocephalus, shivering with hydrocephalus and cystic component of tumor, post-operation nausea with midline shift, cerebral edema, mass effect and cystic component, and new neurologic deficit after the surgery with multifocal tumor.

Keywords

References

  1. Bruder NJ. Awakening management after neurosurgery for intracranial tumours. Curr Opin Anaesthesiol 2002; 15(5): 477-82.
  2. Manninen PH, Raman SK, Boyle K, el-Beheiry H. Early postoperative complications following neurosurgical procedures. Can J Anaesth 1999; 46(1): 7-14.
  3. de Oliveira Ribeiro Mdo C, Pereira CU, Sallum AM, Martins-Filho PR, Desantana JM, da Silva Nunes M, et al. Immediate post-craniotomy headache. Cephalalgia 2013; 33(11): 897-905.
  4. Ferreira Kdos S, Dach F, Speciali JG. Scar neuromas as triggers for headache after craniotomy: clinical evidence. Arq Neuropsiquiatr 2012; 70(3): 206-9.
  5. Wong JM, Panchmatia JR, Ziewacz JE, Bader AM, Dunn IF, Laws ER, et al. Patterns in neurosurgical adverse events: intracranial neoplasm surgery. Neurosurg Focus 2012; 33(5): E16.
  6. Cai YH, Zeng HY, Shi ZH, Shen J, Lei YN, Chen BY, et al. Factors influencing delayed extubation after infratentorial craniotomy for tumour resection: a prospective cohort study of 800 patients in a Chinese neurosurgical centre. J Int Med Res 2013; 41(1): 208-17.
  7. Pierre S, Benais H, Pouymayou J. Apfel's simplified score may favourably predict the risk of postoperative nausea and vomiting. Can J Anaesth 2002; 49(3): 237-42.
  8. Sinclair DR, Chung F, Mezei G. Can postoperative nausea and vomiting be predicted? Anesthesiology 1999; 91(1): 109-18.
  9. Apfel CC, Laara E, Koivuranta M, Greim CA, Roewer N. A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology 1999; 91(3): 693-700.
  10. Ouyang MW, McDonagh DL, Phillips-Bute B, James ML, Friedman AH, Gan TJ. Does midline shift predict postoperative nausea in brain tumor patients undergoing awake craniotomy? A retrospective analysis. Curr Med Res Opin 2013; 29(9): 1033-8.
  11. Lassen B, Helseth E, Egge A, Due-Tonnessen BJ, Ronning P, Meling TR. Surgical mortality and selected complications in 273 consecutive craniotomies for intracranial tumors in pediatric patients. Neurosurgery 2012; 70(4): 936-43.
  12. Bates B. The nervous system. In: Bickley LS, Szilagyi PG, Editors. Bates' guide to physical examination and history taking. Philadelphia, PA: Lippincott Williams & Wilkins; 2013. p. 708-31.
  13. Fabling JM, Gan TJ, Guy J, Borel CO, el-Moalem HE, Warner DS. Postoperative nausea and vomiting. A retrospective analysis in patients undergoing elective craniotomy. J Neurosurg Anesthesiol 1997; 9(4): 308-12.
  14. Sawaya R, Hammoud M, Schoppa D, Hess KR, Wu SZ, Shi WM, et al. Neurosurgical outcomes in a modern series of 400 craniotomies for treatment of parenchymal tumors. Neurosurgery 1998; 42(5): 1044-55.
  15. Lassen B, Helseth E, Ronning P, Scheie D, Johannesen TB, Maehlen J, et al. Surgical mortality at 30 days and complications leading to recraniotomy in 2630 consecutive craniotomies for intracranial tumors. Neurosurgery 2011; 68(5): 1259-68.
Journal of Isfahan Medical School
Volume 34, Issue 397 - Serial Number 397
July and August 2016
Pages 1044-1048

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History

  • Receive Date: 18 June 2016
  • Revise Date: 23 May 2024
  • Accept Date: 06 April 2022

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