Development and treatment of CSF fistula, post-operative headache, cerebellar ptosis in 62 patients who underwent posterior fossa cranioplasty or not following posterior fossa surgery

C. Yaldiz, Okan Türk, Burak Tahmazoglu, Ö. Şahin, Ö. Baran, Adil Can Karaoğlu, Mehmet Akif Ambarcioglu, M. Kaya, D. Ceylan
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Abstract

Objective: The approaches in posterior fossa surgery are used for accessing various tumors and vascular lesions including neuro-glial tumors, vestibular Schwannomas, inclusion tumors, meningiomas. Materials and Methods: A total of 62 patients who underwent operation due to infra-tentorial intra-cranial mass lesion in Neuro-Surgery Clinic between 2014 and 2018 were included in the study. Result: The study was conducted with 62 patients of whom 61.3% (n=38) were males and 38.72% (n=24) were females between 2014 and 2018. While 33.9% (n=21) of the patients underwent cranioplasty, 66.1% (n=41) did not undergo cranioplasty. Conclusion: The preliminary study suggests that cranioplasty is useful for headache and cerebellar ectopy however insufficient for prevention of CNF fistula development.
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62例后颅窝成形术或未行后颅窝手术患者脑脊液瘘、术后头痛、小脑上睑下垂的发生及治疗
目的:后窝手术入路适用于各种肿瘤及血管病变,包括神经胶质瘤、前庭神经鞘瘤、包涵体瘤、脑膜瘤等。材料与方法:选取2014 - 2018年神经外科门诊因幕下颅内肿块病变行手术治疗的62例患者作为研究对象。结果:2014 - 2018年共纳入62例患者,其中男性38例,占61.3%,女性24例,占38.72%。33.9% (n=21)的患者行颅骨成形术,66.1% (n=41)的患者未行颅骨成形术。结论:颅成形术对头痛和小脑切除有一定的疗效,但对预防CNF瘘的发生有一定的不足。
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