title: A Prospective Analysis of Complications of Intracranial Tumor Surgery.
abstract: AimsThere is a recent trend toward delivering neurosurgical care in large supraregional centers with intradepartmental subspecialization. We report a 14-year prospective audit of a single surgeon's experience of intracranial tumor surgery with an emphasis on complications.MethodsA total of 616 procedures were performed on 596 patients of which 321 were male and 275 were female (age range: 1-84 years). Tumors were categorized as glioma, meningioma, metastasis, and other. Complications were recorded as infection, intracranial hematoma, neurologic deterioration, and death.ResultsOf the 305 patients who underwent glioma surgery, 4 (1.3%) developed a hematoma, 4 (1.3%) had neurologic deterioration, 5 (1.6%) died within 30 days of surgery, and 1 (0.33%) had an infection. Of the 120 patients who underwent surgery for meningioma, 8 (6.6%) developed an infection, 1 (0.83%) developed a hematoma, and 7 (5.8%) had neurologic deterioration. Of the 59 patients who underwent surgery for brain metastasis, 1 (1.7%) had neurologic deterioration. Of the remaining patients, 4 (3.0%) developed infection and 6 (4.5%) had neurologic deterioration.ConclusionsThe overall complication rate was infection, 2.1%; hematoma, 0.8%; neurologic deterioration, 2.9%; and death, 0.8%. These results compare favorably with published series.
authors.affiliation: Department of Neurosurgery, Cork University Hospital, Wilton Cork, Cork, Ireland.
authors.forename: Jahangir
authors.initials: J
authors.lastname: Sajjad
authors.affiliation: Department of Neurosurgery, Cork University Hospital, Wilton Cork, Cork, Ireland.
authors.forename: Chandrasekaran
authors.initials: C
authors.lastname: Kaliaperumal
authors.affiliation: Department of Neurosurgery, Cork University Hospital, Wilton Cork, Cork, Ireland.
authors.forename: Irfan
authors.initials: I
authors.lastname: Yousaf
authors.affiliation: Department of Neurosurgery, Cork University Hospital, Wilton Cork, Cork, Ireland.
authors.forename: Ramla Javed
authors.initials: RJ
authors.lastname: Bhatti
authors.affiliation: Department of Neurosurgery, Cork University Hospital, Wilton Cork, Cork, Ireland.
authors.forename: Michael
authors.initials: M
authors.lastname: O'Sullivan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001932:Brain Neoplasms / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005910:Glioma / Q000601:surgery*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007223:Infant; D020300:Intracranial Hemorrhages / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D055815:Young Adult