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Postoperative cerebral venous infarction

Deepak Agrawal1, Vikas Naik1

  • 1Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.

Journal of Pediatric Neurosciences
|April 17, 2015
PubMed

Insights

Postoperative cerebral venous infarction (POCVI) affects 7% of cranial surgery patients, with children comprising a significant portion. Outcomes for pediatric and adult POCVI patients are similarly poor.

Area of Science:

  • Neurosurgery
  • Neurology
  • Radiology

Background:

  • Postoperative cerebral venous infarction (POCVI) is a recognized complication of cranial surgeries.
  • Limited literature exists on the epidemiology and management of POCVI.

Purpose of the Study:

  • To investigate the incidence and clinical-radiological course of POCVI.
  • To compare outcomes between pediatric and adult patients with POCVI.

Main Methods:

  • Prospective study of 376 patients undergoing elective major cranial surgeries.
  • Neurological monitoring and serial CT scans for POCVI detection.
  • Diagnosis based on CT findings and neurological deficits.

Main Results:

  • POCVI developed in 7% (26/376) of patients.
  • 46% of POCVI patients were under 18 years old.
  • Hemorrhagic POCVI occurred in 61%, nonhemorrhagic in 39%; mean detection time was 72 hours.
  • 61.9% of symptomatic patients improved with residual deficits, 28.5% died.

Conclusions:

  • Children represent a substantial proportion of POCVI cases (46%).
  • Pediatric POCVI patients experience outcomes comparable to adult patients.
Abstract

Keywords:
Cerebralcomplicationcranialincidencemanagementsurgeryvenous infarction

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