Can YALDIZ, Okan TÜRK, Burak TAHMAZOĞLU, Ömer Faruk ŞAHİN, Özgür BARAN, Adil Can KARAOĞLU, Mehmet Akif AMBARCIOĞLU, Mustafa KAYA, Davut CEYLAN

Posterior fossa cerrahisinde kraniyoplasti yapılan ve yapılmayan 62 hastada BOS fistülü, postoperatif baş ağrısı, serebellar pitozis gelişimi ve tedavisi

Amaç: Posterior fossa cerrahi yaklaşımları nöro-glial tümörler, vestibüler Schwannomlar, inklüzyon tümörleri, meningiomlar gibi çeşitli tümörlere ve vasküler lezyonlara ulaşmak için kullanılmaktadır Yöntem ve Gereçler: 2014-2018 yılları arasında Nöroşirürji Kliniği'nde infratentoryal intrakranial kitle lezyonu nedeniyle opere edilen toplam 62 hasta çalışmaya dahil edildi. Bulgular: Çalışma 2014-2018 yılları arasında %61,3 (n=38) erkek ve %38,72 (n=24) kadın olmak üzere 62 hasta ile gerçekleştirildi. Hastaların %33,9'una (n=21) kraniyoplasti yapılırken, 66,1 % (n=41) kranyoplasti geçirmedi. Sonuç: Bizim bu çalışmamız, kranioplastinin baş ağrısı ve serebellar ektopi için yararlı olduğunu ancak BOS fistül gelişimini önlemede yetersiz olduğunu düşündürmektedir

Anahtar Kelimeler:

posterior fossa, kranioplasti, beyin omurilik sıvısı fistülü, amelliyat sonrası baş ağrısı, serebellar ptoz

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

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.

Keywords:

posterior fossa, cranioplasty, cerebro-spinal fluid fistula, post-operative headache, cerebellar ptozis,

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