Article
Clinical Neurology
Ahmet Kinaci, Emma M. H. Slot, Mare Kollen, Menno R. Germans, Sepideh Amin-Hanjani, Andrew P. Carlson, Kashif Majeed, Paul R. A. M. Depauw, Pierre A. Robe, Luca Regli, Fady T. Charbel, Tristan P. C. van Doormaal
Summary: This retrospective study analyzed patients who underwent intradural cranial surgery from 2017 to 2018 at 5 neurosurgical centers. The incidence of incisional cerebrospinal fluid (iCSF) leakage was 7.1%. Risk factors for iCSF leakage included younger age, male gender, higher body mass index, smoking, infratentorial surgery, and use of a dural substitute. The use of a sealant reduced the risk of iCSF leakage. iCSF leakage increased the risk of postoperative infections and required immediate external cerebrospinal fluid drainage or wound revision.
Article
Multidisciplinary Sciences
Il Hwan Lee, Do Hyun Kim, Jae-Sung Park, Sin-Soo Jeun, Yong-Kil Hong, Sung Won Kim
Summary: Buttress placement effectively prevented postoperative CSF leakage in grade 1 patients, while both fat and buttress were necessary for patients with intraoperative leakage of grades 2 and 3.
Review
Clinical Neurology
Yuqing Lv, Hui Xiang
Summary: Cerebrospinal fluid (CSF) leakage is a common complication after spinal surgery and is a major cause of intracranial hypotension. Intracranial hypotension typically presents with orthostatic headache, nausea, vomiting, and dizziness, but there have been rare cases where it manifests as seizures and altered consciousness. Early recognition of intracranial hypotension can be challenging, but summarizing cases with seizures as the primary symptom can aid in the early diagnosis of this syndrome.
FRONTIERS IN NEUROLOGY
(2022)
Article
Dermatology
Yu Wang, Yuhao Wang, Shuai Wang, Shiqiang Hou, Dong Yu, Chao Zhang, Lanlan Zhang, Ning Lin
Summary: With the advancement of neurosurgery, the use of neurosurgical implants in older patients with multiple comorbidities has increased. This has led to a rise in infections associated with these implants, which can cause serious complications and abnormalities. In this article, we discuss infections linked to various types of implants used in neurosurgery, with a particular focus on the challenging issue of biofilms. More research is needed to evaluate treatment strategies for neurosurgical patients with implant-associated infections.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Clinical Neurology
Hung-Chieh Chen, Po-Lin Chen, Jyh-Wen Chai, Chieh-Lin Jerry Teng
Summary: It was found that older patients with spontaneous intracranial hypotension and those with >= 9 spinal CSF leakages were more likely to be non-responsive to hydration.
Review
Clinical Neurology
Emma M. H. Slot, Kirsten M. van Baarsen, Eelco W. Hoving, Nicolaas P. A. Zuithoff, Tristan P. C. van Doormaal
Summary: The overall incidence of cerebrospinal fluid leakage after intradural cranial surgery in the pediatric population is 4.4%. Risk factors include craniectomy and infratentorial surgery. Duraplasty use is negatively associated with CSF leak.
CHILDS NERVOUS SYSTEM
(2021)
Review
Oncology
Hongxiang Huang, Changliang Zhu, Hao Qin, Li Deng, Chunming Huang, Comron Saifi, Kevin Bondar, Enrico Giordan, Olumide Danisa, Jun Ho Chung, Hossein Elgafy, Rannulu Dineth Fonseka, Chuixue Huang, Qingchun Mu
Summary: Intracranial hemorrhage following spinal surgery is a rare but severe complication. This literature review analyzes its incidence, clinical manifestations, hemorrhage location, current treatment strategies, and aims to provide insights for prompt identification and prevention by clinicians.
ANNALS OF TRANSLATIONAL MEDICINE
(2022)
Article
Oncology
Xiefeng Wang, Binbin Wang, Gang Cheng, Yongping You, Chao Tao
Summary: This study aimed to evaluate the methods and outcomes of our graded sellar floor reconstruction strategy without fat graft packing in preventing postoperative cerebrospinal fluid leakage in endoscopic endonasal pituitary adenoma surgeries. The results showed that there was no significant difference in the incidence of postoperative cerebrospinal fluid leak between the group with fat graft packing and the group without fat graft packing. Therefore, intradural fat graft packing is unnecessary.
FRONTIERS IN ONCOLOGY
(2023)
Article
Oncology
Wei Gao, Xiaoyu Wang, Yuanjian Fang, Yuan Hong, Wei Yan, Sheng Zhang, Chenguang Li
Summary: This study aimed to investigate the relationship between pneumocephalus on non-contrast CT (NCCT) and post-operative cerebrospinal fluid leakage (p-CFL) after endoscopic transsphenoidal sellar and suprasellar tumor surgeries. The results showed that the occurrence of p-CFL was associated with intra-operative CFL, longer operation time, first-day pneumocephalus on NCCT, and the volume change of pneumocephalus between two NCCT measurements. The study also found that the volume change of pneumocephalus had a better predicting value for p-CFL than the first-day pneumocephalus.
FRONTIERS IN ONCOLOGY
(2022)
Review
Otorhinolaryngology
Orhan Asya, Omer Faruk Kuyumcu, Yavuz Gundogdu
Summary: This article presents an unexpected complication encountered during surgical excision of extracranial hypoglossal schwannoma, which is cerebrospinal fluid leakage. The importance of thorough preoperative evaluation and patient education is emphasized.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2023)
Review
Clinical Neurology
Ji-Yan Jin, Miao Yu, Rui-Feng Xu, Yu Sun, Bao-Hua Li, Fei-Fei Zhou
Summary: This study aimed to identify demographic, disease-related, and surgical risk factors for cerebrospinal fluid (CSF) leakage after extradural spine surgery through a systematic review and meta-analysis. The results provide valuable insights for clinicians to identify high-risk patients and monitor drainage fluid more closely.
WORLD NEUROSURGERY
(2023)
Review
Clinical Neurology
Birgit Coucke, Lura Van Gerven, Steven De Vleeschouwer, Frank Van Calenbergh, Johannes van Loon, Tom Theys
Summary: Cerebrospinal fluid (CSF) leakage is a major complication after elective neurosurgical procedures, with skull base surgery having the highest rate. Standardized procedures are needed to reduce the incidence of postoperative CSF leakage and its associated healthcare costs.
NEUROSURGICAL REVIEW
(2022)
Article
Clinical Neurology
Emma M. H. Slot, Nadia Colmer, Carlo Serra, David Holzmann, Luca Regli, Tristan P. C. van Doormaal
Summary: This study evaluated the use of Liqoseal in sealing dural defects during endoscopic transsphenoidal procedures, and the results suggest that it is likely safe and potentially effective.
ACTA NEUROCHIRURGICA
(2023)
Article
Multidisciplinary Sciences
Antonio Scollato, Saverio Caini, Lucia Angelini, Giancarlo Lastrucci, Nicola Di Lorenzo, Berardino Porfirio, Pasquale Gallina
Summary: This study reviewed the records of 69 patients and found that maintaining stroke volume values within a definite range could maximize clinical benefit and avoid the risk of CSF overdrainage. The odds of negative outcome between two consecutive checks increased significantly with certain stroke volume differences.
SCIENTIFIC REPORTS
(2021)
Article
Clinical Neurology
Jianquan Zhao, Heng Jiang, Huan Jiang, Yicheng Meng, Rui Gao, Jun Ma, Ce Wang, Xuhui Zhou
Summary: This retrospective study analyzed the occurrence of acute SAH after spinal surgery and identified hypertension, intraoperative CSF leakage, and postoperative CSF continuous drainage speed as risk factors for SAH.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Tristan P. C. van Doormaal, Menno R. Germans, Mariska Sie, Bart Brouwers, Jorn Fierstra, Paul R. A. M. Depauw, Pierre A. Robe, Luca Regli
Article
Clinical Neurology
Max J. van Essen, Ivo S. Muskens, Nayan Lamba, Stephan F. J. Belunek, Arthur T. J. van der Boog, G. Johan Amelink, Peter H. Gosselaar, Tristan P. C. van Doormaal, Aline M. E. Stades, Joost J. C. Verhoeff, Maria M. van Genderen, Christine A. E. Eenhorst, Marike L. D. Broekman
Summary: Visual dysfunction in patients with pituitary adenomas is an indication for endoscopic endonasal transsphenoidal surgery (EETS). This study found that EETS significantly improved both visual acuity and visual field defects, with nonfunctioning pituitary adenomas and specific tumor characteristics predicting preoperative visual dysfunction, while higher degrees of suprasellar tumor extension were associated with postoperative improvement in visual outcomes.
JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE
(2021)
Article
Otorhinolaryngology
J. Alexander de Ru, Hans G. X. M. Thomeer, Bernard M. Tijink, Tristan P. C. van Doormaal
Summary: Painful neuromas are difficult to treat, but a technique involving transection of the causative nerve followed by capping the nerve stump with a Neurocap showed promising results in 3 consecutive patients with traumatic neuroma. The preliminary results suggest this technique may be a viable treatment option for patients with suspected neuromas in the head and neck area.
ENT-EAR NOSE & THROAT JOURNAL
(2021)
Article
Anesthesiology
Annemarie Akkermans, Judith A. R. van Waes, Tristan P. C. van Doormaal, Eric E. C. de Waal, Gabriel J. E. Rinkel, Albert van der Zwan, Cor J. Kalkman, Wilton A. van Klei
BRITISH JOURNAL OF ANAESTHESIA
(2020)
Article
Surgery
Hans G. X. M. Thomeer, Corine Schreurs, Tristan P. C. van Doormaal, Louise V. Straatman
FRONTIERS IN SURGERY
(2020)
Article
Clinical Neurology
B. de Boer, T. P. C. van Doormaal, C. A. F. Tulleken, L. Regli, A. van der Zwan
Summary: The study demonstrates that the sutureless, mechanical anastomotic connection device SEcl is non-inferior to the conventional ELANA technique in terms of patency, flap retrieval rate, flow, and endothelialization. The SEcl technique shows advantages in terms of shorter application time and superior hemostasis, suggesting its potential preference over the ELANA technique.
ACTA NEUROCHIRURGICA
(2021)
Article
Clinical Neurology
T. Fick, J. A. M. van Doormaal, E. W. Hoving, L. Regli, T. P. C. van Doormaal
Summary: This study presents the first use of a holographic neuronavigation system for intraoperative patient tracking, demonstrating the potential for improving spatial anatomical understanding for surgeons during surgery. Further optimization of navigation accuracy is needed for clinical applicability.
ACTA NEUROCHIRURGICA
(2021)
Review
Clinical Neurology
Emma M. H. Slot, Kirsten M. van Baarsen, Eelco W. Hoving, Nicolaas P. A. Zuithoff, Tristan P. C. van Doormaal
Summary: The overall incidence of cerebrospinal fluid leakage after intradural cranial surgery in the pediatric population is 4.4%. Risk factors include craniectomy and infratentorial surgery. Duraplasty use is negatively associated with CSF leak.
CHILDS NERVOUS SYSTEM
(2021)
Review
Clinical Neurology
Tim Fick, Jesse A. M. van Doormaal, Eelco W. Hoving, Peter W. A. Willems, Tristan P. C. van Doormaal
Summary: After analyzing 35 studies, it appears that although there is disagreement on the best method to assess accuracy in ARN systems, they seem capable of achieving a level of accuracy comparable to CIN systems. Future studies should be prospective and compare TRE values, which should be measured in a standardized manner.
WORLD NEUROSURGERY
(2021)
Article
Engineering, Biomedical
A. Kinaci, S. van Thoor, S. Redegeld, M. Tooren, T. P. C. van Doormaal
Summary: This study demonstrates that Liqoseal is capable of achieving a strong watertight seal over a dural defect in ex vivo models.
JOURNAL OF MATERIALS SCIENCE-MATERIALS IN MEDICINE
(2021)
Article
Veterinary Sciences
Ahmet Kinaci, Koen Vaessen, Saskia Redegeld, Albert van der Zwan, Tristan P. C. van Doormaal
Summary: This study described the surgical approaches of large craniotomies in pigs and how the risk of complications was minimized. The major complications included postoperative epidural hematomas and sagittal sinus rupture, with measures such as optimizing anesthesia and using tranexamic acid being effective in preventing them. In conclusion, pigs can survive craniotomies with proper preventive measures in place.
LABORATORY ANIMALS
(2021)
Article
Clinical Neurology
Tim Fick, Jesse A. M. van Doormaal, Lazar Tosic, Renate J. van Zoest, Jene W. Meulstee, Eelco W. Hoving, Tristan P. C. van Doormaal
Summary: The authors developed an automatic segmentation algorithm for creating 3D models of anatomical structures from a single T1-weighted MR sequence, which was validated for brain tumors and compared with manual segmentation. The algorithm proved to be accurate and efficient in cloud-based automatic segmentation, showing potential for aiding neurosurgeons in clinical practice.
NEUROSURGICAL FOCUS
(2021)
Article
Medicine, General & Internal
Tristan Van Doormaal, Menno R. Germans, Mariska Sie, Bart Brouwers, Andrew Carlson, Jan Willem Dankbaar, Jorn Fierstra, Paul Depauw, Pierre Robe, Luca Regli
Summary: The study assessed the safety and performance of the dural sealant patch in reducing cerebrospinal fluid leakage in patients undergoing cranial surgery, demonstrating that it is a safe and potentially efficacious device for this purpose.
Review
Clinical Neurology
Emma M. H. Slot, Rengin Sabaoglu, Eduard H. J. Voormolen, Eelco W. Hoving, Tristan P. C. van Doormaal
Summary: The study aimed to investigate the prevalence of cerebrospinal fluid (CSF) leak after transsphenoidal surgery in adults. The overall prevalence of postoperative CSF leak was 3.4%, with intraoperative CSF leak and cavernous sinus invasion identified as significant risk factors.
JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE
(2022)
Meeting Abstract
Clinical Neurology
A. M. Algra, J. Greving, J. De Winkel, A. Kurtelius, K. Laban, D. Verbaan, R. Van den Berg, P. Vandertop, A. Lindgren, T. Krings, P. Woo, G. Wong, B. Roozenbeek, A. Van Es, R. Dammers, N. Etminan, H. D. Boogaarts, I. Van der Schaaf, T. Van Doormaal, A. Van der Zwan, G. J. E. Rinkel, M. Vergouwen
INTERNATIONAL JOURNAL OF STROKE
(2020)
