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Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series
BACKGROUND: This study provides a comprehensive overview of the management of postoperative vasospasm after skull base surgeries. This phenomenon is rare but can be of serious sequelae. METHODS: Medline, Embase, and PubMed Central were searched, along with examining the references of the included st...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316141/ https://www.ncbi.nlm.nih.gov/pubmed/37404488 http://dx.doi.org/10.25259/SNI_441_2023 |
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author | Hamzah, Abdulaziz Alharbi, Abdullah S. Abdulhamid, Ahmed S. Turkistani, Alaa Nabil Aref, Mohmmed Hani |
author_facet | Hamzah, Abdulaziz Alharbi, Abdullah S. Abdulhamid, Ahmed S. Turkistani, Alaa Nabil Aref, Mohmmed Hani |
author_sort | Hamzah, Abdulaziz |
collection | PubMed |
description | BACKGROUND: This study provides a comprehensive overview of the management of postoperative vasospasm after skull base surgeries. This phenomenon is rare but can be of serious sequelae. METHODS: Medline, Embase, and PubMed Central were searched, along with examining the references of the included studies. Only case reports and series that reported vasospasm following a skull base pathology were incorporated. Cases with pathologies other than skull base, subarachnoid hemorrhage, aneurysm, and reversible cerebral vasoconstriction syndrome were excluded from the study. Quantitative data were presented as mean (Standard Deviation) or median (range), accordingly, while qualitative data were presented as frequency (percentage). Chi- square test and one-way analysis of variance were used to assess for any association between the different factors and patient outcomes. RESULTS: We had a total of 42 cases extracted from the literature. The mean age was 40.1 (±16.1) with approximately equal males and females (19 [45.2%] and 23 [54.8%], respectively). The time to develop vasospasm after the surgery was 7 days (±3.7). Most of the cases were diagnosed by either angiogram or magnetic resonance angiography. Seventeen of the 42 patients had pituitary adenoma as the pathology. Anterior circulation was nearly affected in all patients. For management, most patients received pharmacological with supportive management. Twenty-three patients had an incomplete recovery as a result of vasospasm. CONCLUSION: Vasospasm following skull base operations can affect males and females, and most patients in this review were middle-aged adults. The outcome of patients varies; however, most patients did not achieve a full recovery. There was no correlation between any factors and the outcome. |
format | Online Article Text |
id | pubmed-10316141 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-103161412023-07-04 Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series Hamzah, Abdulaziz Alharbi, Abdullah S. Abdulhamid, Ahmed S. Turkistani, Alaa Nabil Aref, Mohmmed Hani Surg Neurol Int Original Article BACKGROUND: This study provides a comprehensive overview of the management of postoperative vasospasm after skull base surgeries. This phenomenon is rare but can be of serious sequelae. METHODS: Medline, Embase, and PubMed Central were searched, along with examining the references of the included studies. Only case reports and series that reported vasospasm following a skull base pathology were incorporated. Cases with pathologies other than skull base, subarachnoid hemorrhage, aneurysm, and reversible cerebral vasoconstriction syndrome were excluded from the study. Quantitative data were presented as mean (Standard Deviation) or median (range), accordingly, while qualitative data were presented as frequency (percentage). Chi- square test and one-way analysis of variance were used to assess for any association between the different factors and patient outcomes. RESULTS: We had a total of 42 cases extracted from the literature. The mean age was 40.1 (±16.1) with approximately equal males and females (19 [45.2%] and 23 [54.8%], respectively). The time to develop vasospasm after the surgery was 7 days (±3.7). Most of the cases were diagnosed by either angiogram or magnetic resonance angiography. Seventeen of the 42 patients had pituitary adenoma as the pathology. Anterior circulation was nearly affected in all patients. For management, most patients received pharmacological with supportive management. Twenty-three patients had an incomplete recovery as a result of vasospasm. CONCLUSION: Vasospasm following skull base operations can affect males and females, and most patients in this review were middle-aged adults. The outcome of patients varies; however, most patients did not achieve a full recovery. There was no correlation between any factors and the outcome. Scientific Scholar 2023-06-23 /pmc/articles/PMC10316141/ /pubmed/37404488 http://dx.doi.org/10.25259/SNI_441_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Hamzah, Abdulaziz Alharbi, Abdullah S. Abdulhamid, Ahmed S. Turkistani, Alaa Nabil Aref, Mohmmed Hani Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series |
title | Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series |
title_full | Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series |
title_fullStr | Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series |
title_full_unstemmed | Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series |
title_short | Management of postoperative cerebral vasospasm in skull base surgeries: A systematic review of case reports and series |
title_sort | management of postoperative cerebral vasospasm in skull base surgeries: a systematic review of case reports and series |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316141/ https://www.ncbi.nlm.nih.gov/pubmed/37404488 http://dx.doi.org/10.25259/SNI_441_2023 |
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