[Complications of stereotaxic surgery for cerebral tumors. Minimal access neurosurgery].
BACKGROUND
Complications of neurosurgery include the clinical, neurological and neurosurgical aspects. Their prevention and correction depend on satisfactory preoperative assessment and close postoperative follow-up. Although minimum access neurosurgery reduces some problems, the complexity and depth of many cerebral lesions cause problems. Therefore it is important to adhere to the above principles to obtain good results.


OBJECTIVE
To determine the clinical complications, their early detection and course to be followed when they occur.


METHODS
We studied 29 patients with intracranial tumors operated on using stereotaxic surgery during a period of two years. They were evaluated before and after surgery and the complications recorded.


RESULTS
We discuss the most significant clinical aspects of peri-operative management. The main complications found were lower respiratory tract infection and hyperglycemia.


CONCLUSIONS
These results show the need for suitable management, even in minimum access surgery, in patients with cerebral tumors operated on using stereotaxis and underline the most significant complications.
Padrón-Sánchez
A
A
Clínica de Neurocirugía, Centro Internacional de Restauración Neurológica (CIREN), La Habana, 11300, Cuba. padron@neuro.sld.cu
López-Flores
G
G
García-Maeso
I
I
Barnés-Domínguez
J A
JA
Vázquez-López
C
C
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001932:Brain Neoplasms / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D012141:Respiratory Tract Infections / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D013238:Stereotaxic Techniques / Q000009:adverse effects*