Factors affecting postoperative cerebrospinal fluid leaks after retrosigmoidal craniotomy for vestibular schwannomas.

Abstract:

OBJECT:The aim of this study was to identify patients likely to develop CSF leaks after vestibular schwannoma surgery using a retrospective analysis for the identification of risk factors. METHODS:Between January 2001 and December 2006, 420 patients underwent retrosigmoidal microsurgical tumor removal in a standardized procedure. Of these 420 patients, 363 underwent treatment for the first time, and 27 suffered from recurrent tumors. Twenty-six patients had bilateral tumors due to neurofibromatosis Type 2, and 4 patients had previously undergone radiosurgical treatment. An analysis was performed to examine the incidence of postoperative CSF fistulas in all 4 groups. RESULTS:The incidence of CSF leakage was higher in the tumor recurrence group (11.1%) than in patients undergoing surgery for the first time (4.4%). There were no CSF fistulas in the neurofibromatosis Type 2 group or in patients with preoperative radiosurgical treatment. Tumor size was identified as a possible risk factor in a previous study. CONCLUSIONS:Surgery for recurrent tumors is a significant risk factor for the development of CSF leaks.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Stieglitz LH,Wrede KH,Gharabaghi A,Gerganov VM,Samii A,Samii M,Luedemann WO

doi

10.3171/2009.2.JNS081380

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

874-83

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

111

pub_type

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