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MRimaging findings after ventricular puncture in patients with SAH
Using magnetic resonance (MR) imaging, we studied brain injury from ventricular puncture performed during craniotomy in the acute stage of subarachnoid hemorrhage (SAH). 80 patients underwent craniotomy for aneurysm obliteration within 48 hr after SAH, ventricular puncture for drainage of cerebrospi...
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| Published in: | Acta neurochirurgica 2001-11, Vol.143 (11), p.1133-1140 |
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| container_issue | 11 |
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| container_title | Acta neurochirurgica |
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| creator | Tominaga, J Shimoda, M Oda, S Kumasaka, A Yamazaki, K Tsugane, R |
| description | Using magnetic resonance (MR) imaging, we studied brain injury from ventricular puncture performed during craniotomy in the acute stage of subarachnoid hemorrhage (SAH).
80 patients underwent craniotomy for aneurysm obliteration within 48 hr after SAH, ventricular puncture for drainage of cerebrospinal fluid (CSF) was performed to reduce intracranial pressure. MR imaging was performed within 3 days following surgery to measure the size of the lesion, and was repeated on postoperative days 14 and 30.
Of the 80 patients with ventricular puncture preceding craniotomy, 65 (81%) showed MR evidence of brain injury from the puncture. Overall, 149 lesions were detected. According to coronal images, cortical injuries (54 cases), penetrating injury to tracts along the ventricular tube (55 cases), caudate injury (25 cases), and corpus callosum injury (15 cases). Brain injuries from ventricular puncture did not correlate significantly to patient outcome. While ventricular puncture and drainage of CSF can readily be performed to decrease brain volume at the time of craniotomy in acute-stage SAH, neurosurgeons should be aware of a surprisingly high incidence of brain injury complicating puncture. |
| doi_str_mv | 10.1007/s007010100004 |
| format | article |
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80 patients underwent craniotomy for aneurysm obliteration within 48 hr after SAH, ventricular puncture for drainage of cerebrospinal fluid (CSF) was performed to reduce intracranial pressure. MR imaging was performed within 3 days following surgery to measure the size of the lesion, and was repeated on postoperative days 14 and 30.
Of the 80 patients with ventricular puncture preceding craniotomy, 65 (81%) showed MR evidence of brain injury from the puncture. Overall, 149 lesions were detected. According to coronal images, cortical injuries (54 cases), penetrating injury to tracts along the ventricular tube (55 cases), caudate injury (25 cases), and corpus callosum injury (15 cases). Brain injuries from ventricular puncture did not correlate significantly to patient outcome. While ventricular puncture and drainage of CSF can readily be performed to decrease brain volume at the time of craniotomy in acute-stage SAH, neurosurgeons should be aware of a surprisingly high incidence of brain injury complicating puncture.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s007010100004</identifier><identifier>PMID: 11731864</identifier><language>eng</language><publisher>Austria: Springer Nature B.V</publisher><subject>Acute Disease ; Aged ; Aneurysms ; Brain damage ; Brain Injuries - cerebrospinal fluid ; Brain Injuries - pathology ; Cerebral Ventricles - surgery ; Craniotomy - methods ; Drainage ; Female ; Hemorrhage ; Humans ; Injuries ; Intracranial Aneurysm - complications ; Intracranial Aneurysm - surgery ; Logistic Models ; Magnetic Resonance Imaging ; Male ; Medical diagnosis ; Middle Aged ; Punctures - adverse effects ; Subarachnoid Hemorrhage - etiology ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Acta neurochirurgica, 2001-11, Vol.143 (11), p.1133-1140</ispartof><rights>Springer-Verlag Wien 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-f3169958bf4f69b87dfd29338f77524a49ef560ec459dd47420de8288e4219543</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27936,27937</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11731864$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tominaga, J</creatorcontrib><creatorcontrib>Shimoda, M</creatorcontrib><creatorcontrib>Oda, S</creatorcontrib><creatorcontrib>Kumasaka, A</creatorcontrib><creatorcontrib>Yamazaki, K</creatorcontrib><creatorcontrib>Tsugane, R</creatorcontrib><title>MRimaging findings after ventricular puncture in patients with SAH</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><description>Using magnetic resonance (MR) imaging, we studied brain injury from ventricular puncture performed during craniotomy in the acute stage of subarachnoid hemorrhage (SAH).
80 patients underwent craniotomy for aneurysm obliteration within 48 hr after SAH, ventricular puncture for drainage of cerebrospinal fluid (CSF) was performed to reduce intracranial pressure. MR imaging was performed within 3 days following surgery to measure the size of the lesion, and was repeated on postoperative days 14 and 30.
Of the 80 patients with ventricular puncture preceding craniotomy, 65 (81%) showed MR evidence of brain injury from the puncture. Overall, 149 lesions were detected. According to coronal images, cortical injuries (54 cases), penetrating injury to tracts along the ventricular tube (55 cases), caudate injury (25 cases), and corpus callosum injury (15 cases). Brain injuries from ventricular puncture did not correlate significantly to patient outcome. While ventricular puncture and drainage of CSF can readily be performed to decrease brain volume at the time of craniotomy in acute-stage SAH, neurosurgeons should be aware of a surprisingly high incidence of brain injury complicating puncture.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Aneurysms</subject><subject>Brain damage</subject><subject>Brain Injuries - cerebrospinal fluid</subject><subject>Brain Injuries - pathology</subject><subject>Cerebral Ventricles - surgery</subject><subject>Craniotomy - methods</subject><subject>Drainage</subject><subject>Female</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Injuries</subject><subject>Intracranial Aneurysm - complications</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Logistic Models</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Punctures - adverse effects</subject><subject>Subarachnoid Hemorrhage - etiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNp9kUtLw0AQxxdRbK0evcriQU_RfUz2cWyLWqEi-DiHNNmtW9Ik7iaK394tLYgenIF5MD_-MDMInVJyRQmR1yEGQqNHgz00JBpYEgPZjzUhNBFMqAE6CmEVOyaBH6IBpZJTJWCIJg9Pbp0vXb3E1tVlzAHntjMef5i6867oq9zjtq-LrvcGuxq3eefiKOBP173h5_HsGB3YvArmZJdH6PX25mU6S-aPd_fT8TwpOKgusZwKrVO1sGCFXihZ2pJpzpWVMmWQgzY2FcQUkOqyBAmMlEYxpQwwqlPgI3S51W19896b0GVrFwpTVXltmj5kmhIhhFYikhf_kpJxCkBkBM__gKum93XcIlMKFNFSb9SSLVT4JgRvbNb6eDP_lVGSbX6Q_fpB5M92ov1ibcofend0_g0eLn6p</recordid><startdate>200111</startdate><enddate>200111</enddate><creator>Tominaga, J</creator><creator>Shimoda, M</creator><creator>Oda, S</creator><creator>Kumasaka, A</creator><creator>Yamazaki, K</creator><creator>Tsugane, R</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200111</creationdate><title>MRimaging findings after ventricular puncture in patients with SAH</title><author>Tominaga, J ; Shimoda, M ; Oda, S ; Kumasaka, A ; Yamazaki, K ; Tsugane, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-f3169958bf4f69b87dfd29338f77524a49ef560ec459dd47420de8288e4219543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Aneurysms</topic><topic>Brain damage</topic><topic>Brain Injuries - cerebrospinal fluid</topic><topic>Brain Injuries - pathology</topic><topic>Cerebral Ventricles - surgery</topic><topic>Craniotomy - methods</topic><topic>Drainage</topic><topic>Female</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Injuries</topic><topic>Intracranial Aneurysm - complications</topic><topic>Intracranial Aneurysm - surgery</topic><topic>Logistic Models</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Punctures - adverse effects</topic><topic>Subarachnoid Hemorrhage - etiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tominaga, J</creatorcontrib><creatorcontrib>Shimoda, M</creatorcontrib><creatorcontrib>Oda, S</creatorcontrib><creatorcontrib>Kumasaka, A</creatorcontrib><creatorcontrib>Yamazaki, K</creatorcontrib><creatorcontrib>Tsugane, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tominaga, J</au><au>Shimoda, M</au><au>Oda, S</au><au>Kumasaka, A</au><au>Yamazaki, K</au><au>Tsugane, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MRimaging findings after ventricular puncture in patients with SAH</atitle><jtitle>Acta neurochirurgica</jtitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2001-11</date><risdate>2001</risdate><volume>143</volume><issue>11</issue><spage>1133</spage><epage>1140</epage><pages>1133-1140</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Using magnetic resonance (MR) imaging, we studied brain injury from ventricular puncture performed during craniotomy in the acute stage of subarachnoid hemorrhage (SAH).
80 patients underwent craniotomy for aneurysm obliteration within 48 hr after SAH, ventricular puncture for drainage of cerebrospinal fluid (CSF) was performed to reduce intracranial pressure. MR imaging was performed within 3 days following surgery to measure the size of the lesion, and was repeated on postoperative days 14 and 30.
Of the 80 patients with ventricular puncture preceding craniotomy, 65 (81%) showed MR evidence of brain injury from the puncture. Overall, 149 lesions were detected. According to coronal images, cortical injuries (54 cases), penetrating injury to tracts along the ventricular tube (55 cases), caudate injury (25 cases), and corpus callosum injury (15 cases). Brain injuries from ventricular puncture did not correlate significantly to patient outcome. While ventricular puncture and drainage of CSF can readily be performed to decrease brain volume at the time of craniotomy in acute-stage SAH, neurosurgeons should be aware of a surprisingly high incidence of brain injury complicating puncture.</abstract><cop>Austria</cop><pub>Springer Nature B.V</pub><pmid>11731864</pmid><doi>10.1007/s007010100004</doi><tpages>8</tpages></addata></record> |
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| subjects | Acute Disease Aged Aneurysms Brain damage Brain Injuries - cerebrospinal fluid Brain Injuries - pathology Cerebral Ventricles - surgery Craniotomy - methods Drainage Female Hemorrhage Humans Injuries Intracranial Aneurysm - complications Intracranial Aneurysm - surgery Logistic Models Magnetic Resonance Imaging Male Medical diagnosis Middle Aged Punctures - adverse effects Subarachnoid Hemorrhage - etiology Tomography, X-Ray Computed Treatment Outcome |
| title | MRimaging findings after ventricular puncture in patients with SAH |
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