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dc.contributor.authorKristensen, Elise Karoline
dc.contributor.authorMüller, Kay
dc.contributor.authorIngebrigtsen, Tor
dc.contributor.authorLindekleiv, Haakon
dc.contributor.authorKloster, Roar
dc.contributor.authorIsaksen, Jørgen Gjernes
dc.date.accessioned2024-09-05T08:33:42Z
dc.date.available2024-09-05T08:33:42Z
dc.date.issued2023-12-30
dc.description.abstractIntroduction: Studies report rates of treatment-requiring postoperative intracranial haemorrhage after craniotomy around 1–2%, but do not distinguish between supratentorial and posterior fossa operations. Reports about intracranial haemorrhages’ temporal occurrence show conflicting results. Recommendations for duration of postoperative monitoring vary. Research question: To determine the rate, temporal pattern and clinical presentation of reoperation-requiring postoperative intracranial posterior fossa haemorrhage. Material and methods: This retrospective case-series identified cases operated with posterior fossa craniotomy or craniectomy between January 1, 2007 and December 31, 2021 by an electronic search in the patient administrative database, and collected data about patient- and treatment-characteristics, postoperative monitoring, and the occurrence of haemorrhagic and other serious postoperative complications. Results: We included 62 (n = 34, 55% women) cases with mean age 48 (interquartile range 50) years operated for tumours (n = 34, 55%), Chiari malformations (n = 18, 29%), ischemic stroke (n = 6, 10%) and other lesions (n = 3, 5%). One (2%) 66-year-old woman who was a daily smoker operated with decompressive craniectomy and infarct resection, developed a reoperation-requiring postoperative intracranial haemorrhage after 25.5 h. In four (6%) cases, other serious complications requiring reoperation or transfer from the post anaesthesia care unit or regular bed wards to the intensive care unit occurred after 0.5, 6, 9 and 54 h, respectively. Discussion and conclusion: Treatment-requiring postoperative intracranial haemorrhage and other serious complications after posterior fossa craniotomies occur over a wide timespan and are difficult to capture with a standardized postoperative monitoring time. This indicates that the duration of monitoring should be individualized based on assessment of risk factors.en_US
dc.identifier.citationKristensen, Müller, Ingebrigtsen, Lindekleiv, Kloster, Isaksen. Reoperation-requiring postoperative intracranial haemorrhage after posterior fossa craniotomy: Retrospective case-series. Brain and Spine. 2024;4en_US
dc.identifier.cristinIDFRIDAID 2244387
dc.identifier.doi10.1016/j.bas.2023.102741
dc.identifier.issn2772-5294
dc.identifier.urihttps://hdl.handle.net/10037/34521
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalBrain and Spine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleReoperation-requiring postoperative intracranial haemorrhage after posterior fossa craniotomy: Retrospective case-seriesen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)