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Meningitis complicating transsphenoidal hypophysectomy

B Romanowski, D L Tyrrell, B K Weir

    Canadian Medical Association Journal
    |May 1, 1981
    PubMed
    Summary
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    Postoperative cerebrospinal fluid (CSF) leaks and meningitis following transsphenoidal hypophysectomy are significant risks. Diabetes mellitus and CSF leaks are identified as key risk factors for developing meningitis after this surgery.

    Area of Science:

    • Neurosurgery
    • Infectious Disease Epidemiology

    Background:

    • Transsphenoidal hypophysectomy is a surgical procedure to remove the pituitary gland.
    • Postoperative complications, including cerebrospinal fluid (CSF) leaks and meningitis, can occur.

    Purpose of the Study:

    • To determine the incidence of cerebrospinal rhinorrhea and meningitis after transsphenoidal hypophysectomy.
    • To identify risk factors associated with meningitis following this procedure.

    Main Methods:

    • Retrospective review of 98 patient records who underwent transsphenoidal hypophysectomy between 1969 and 1979.
    • Analysis of complication rates, specifically CSF rhinorrhea and meningitis.

    Main Results:

    • Seven cases of cerebrospinal rhinorrhea and six cases of meningitis were recorded.

    Related Experiment Videos

  • Diabetes mellitus (5/6 meningitis cases) and cerebrospinal rhinorrhea (3/7 meningitis cases) were significant risk factors for meningitis (P < 0.001).
  • Two confirmed and two suspected cases of anaerobic meningitis were noted.
  • Conclusions:

    • Cerebrospinal rhinorrhea and diabetes mellitus are significant risk factors for meningitis post-transsphenoidal hypophysectomy.
    • Prophylactic antibiotics did not prevent meningitis in this patient cohort.