Early postoperative seizures after posterior fossa surgery

S. T. Lee, T. N. Lui, C. N. Chang, W. C. Cheng

研究成果: 雜誌貢獻文章

22 引文 (Scopus)

摘要

A review is reported of the seizure incidence in 726 patients who underwent 740 posterior fossa operations via a suboccipital craniectomy without prophylactic anticonvulsant agents. Thirteen patients (1.8%) experienced seizures within 2 weeks postoperatively. Five of these patients (0.7% of the series) had seizures within 24 hours after operation. The incidence was highest for patients with medulloblastoma (7.2%) followed by those with astrocytoma (2.3%). Also, a higher percentage was found in patients with preoperative ventriculoperitoneal shunt or intraoperative ventriculostomy (2.7%) than in those without (1%), but the difference was not statistically significant. Metabolic acidosis (80%) and hyponatremia (20%) were the major causes of the seizures that developed within 24 hours after operation. Follow-up computerized tomography showed no definite lesion in these patients. Hydrocephalus (75%) and supratentorial hemorrhage remote from the operative site (25%) were detected in the patients who developed seizures between the 2nd and 14th postoperative day. Two of these patients also had postoperative bacterial meningitis. This review suggests that seizures are a possible complication in the early postoperative period after suboccipital craniectomy for posterior fossa lesions.

原文英語
頁(從 - 到)541-544
頁數4
期刊Journal of Neurosurgery
73
發行號4
出版狀態已發佈 - 1990
對外發佈Yes

指紋

Seizures
Ventriculostomy
Ventriculoperitoneal Shunt
Medulloblastoma
Bacterial Meningitides
Hyponatremia
Incidence
Astrocytoma
Hydrocephalus
Acidosis
Postoperative Period
Anticonvulsants
Tomography
Hemorrhage

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

引用此文

Lee, S. T., Lui, T. N., Chang, C. N., & Cheng, W. C. (1990). Early postoperative seizures after posterior fossa surgery. Journal of Neurosurgery, 73(4), 541-544.

Early postoperative seizures after posterior fossa surgery. / Lee, S. T.; Lui, T. N.; Chang, C. N.; Cheng, W. C.

於: Journal of Neurosurgery, 卷 73, 編號 4, 1990, p. 541-544.

研究成果: 雜誌貢獻文章

Lee, ST, Lui, TN, Chang, CN & Cheng, WC 1990, 'Early postoperative seizures after posterior fossa surgery', Journal of Neurosurgery, 卷 73, 編號 4, 頁 541-544.
Lee ST, Lui TN, Chang CN, Cheng WC. Early postoperative seizures after posterior fossa surgery. Journal of Neurosurgery. 1990;73(4):541-544.
Lee, S. T. ; Lui, T. N. ; Chang, C. N. ; Cheng, W. C. / Early postoperative seizures after posterior fossa surgery. 於: Journal of Neurosurgery. 1990 ; 卷 73, 編號 4. 頁 541-544.
@article{df84cb2a16b1403589a3e20b25d57cdd,
title = "Early postoperative seizures after posterior fossa surgery",
abstract = "A review is reported of the seizure incidence in 726 patients who underwent 740 posterior fossa operations via a suboccipital craniectomy without prophylactic anticonvulsant agents. Thirteen patients (1.8{\%}) experienced seizures within 2 weeks postoperatively. Five of these patients (0.7{\%} of the series) had seizures within 24 hours after operation. The incidence was highest for patients with medulloblastoma (7.2{\%}) followed by those with astrocytoma (2.3{\%}). Also, a higher percentage was found in patients with preoperative ventriculoperitoneal shunt or intraoperative ventriculostomy (2.7{\%}) than in those without (1{\%}), but the difference was not statistically significant. Metabolic acidosis (80{\%}) and hyponatremia (20{\%}) were the major causes of the seizures that developed within 24 hours after operation. Follow-up computerized tomography showed no definite lesion in these patients. Hydrocephalus (75{\%}) and supratentorial hemorrhage remote from the operative site (25{\%}) were detected in the patients who developed seizures between the 2nd and 14th postoperative day. Two of these patients also had postoperative bacterial meningitis. This review suggests that seizures are a possible complication in the early postoperative period after suboccipital craniectomy for posterior fossa lesions.",
keywords = "posterior fossa, postoperative complication seizures, suboccipital craniectomy",
author = "Lee, {S. T.} and Lui, {T. N.} and Chang, {C. N.} and Cheng, {W. C.}",
year = "1990",
language = "English",
volume = "73",
pages = "541--544",
journal = "Journal of Neurosurgery",
issn = "0022-3085",
publisher = "American Association of Neurological Surgeons",
number = "4",

}

TY - JOUR

T1 - Early postoperative seizures after posterior fossa surgery

AU - Lee, S. T.

AU - Lui, T. N.

AU - Chang, C. N.

AU - Cheng, W. C.

PY - 1990

Y1 - 1990

N2 - A review is reported of the seizure incidence in 726 patients who underwent 740 posterior fossa operations via a suboccipital craniectomy without prophylactic anticonvulsant agents. Thirteen patients (1.8%) experienced seizures within 2 weeks postoperatively. Five of these patients (0.7% of the series) had seizures within 24 hours after operation. The incidence was highest for patients with medulloblastoma (7.2%) followed by those with astrocytoma (2.3%). Also, a higher percentage was found in patients with preoperative ventriculoperitoneal shunt or intraoperative ventriculostomy (2.7%) than in those without (1%), but the difference was not statistically significant. Metabolic acidosis (80%) and hyponatremia (20%) were the major causes of the seizures that developed within 24 hours after operation. Follow-up computerized tomography showed no definite lesion in these patients. Hydrocephalus (75%) and supratentorial hemorrhage remote from the operative site (25%) were detected in the patients who developed seizures between the 2nd and 14th postoperative day. Two of these patients also had postoperative bacterial meningitis. This review suggests that seizures are a possible complication in the early postoperative period after suboccipital craniectomy for posterior fossa lesions.

AB - A review is reported of the seizure incidence in 726 patients who underwent 740 posterior fossa operations via a suboccipital craniectomy without prophylactic anticonvulsant agents. Thirteen patients (1.8%) experienced seizures within 2 weeks postoperatively. Five of these patients (0.7% of the series) had seizures within 24 hours after operation. The incidence was highest for patients with medulloblastoma (7.2%) followed by those with astrocytoma (2.3%). Also, a higher percentage was found in patients with preoperative ventriculoperitoneal shunt or intraoperative ventriculostomy (2.7%) than in those without (1%), but the difference was not statistically significant. Metabolic acidosis (80%) and hyponatremia (20%) were the major causes of the seizures that developed within 24 hours after operation. Follow-up computerized tomography showed no definite lesion in these patients. Hydrocephalus (75%) and supratentorial hemorrhage remote from the operative site (25%) were detected in the patients who developed seizures between the 2nd and 14th postoperative day. Two of these patients also had postoperative bacterial meningitis. This review suggests that seizures are a possible complication in the early postoperative period after suboccipital craniectomy for posterior fossa lesions.

KW - posterior fossa

KW - postoperative complication seizures

KW - suboccipital craniectomy

UR - http://www.scopus.com/inward/record.url?scp=0025025035&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025025035&partnerID=8YFLogxK

M3 - Article

C2 - 2398384

AN - SCOPUS:0025025035

VL - 73

SP - 541

EP - 544

JO - Journal of Neurosurgery

JF - Journal of Neurosurgery

SN - 0022-3085

IS - 4

ER -