Prevention of subdural fluid collections following transcortical intraventricular and/or paraventricular procedures by using fibrin adhesive

Citation
M. Al-yamany et Rf. Del Maestro, Prevention of subdural fluid collections following transcortical intraventricular and/or paraventricular procedures by using fibrin adhesive, J NEUROSURG, 92(3), 2000, pp. 406-412
Citations number
35
Categorie Soggetti
Neurology,"Neurosciences & Behavoir
Journal title
JOURNAL OF NEUROSURGERY
ISSN journal
00223085 → ACNP
Volume
92
Issue
3
Year of publication
2000
Pages
406 - 412
Database
ISI
SICI code
0022-3085(200003)92:3<406:POSFCF>2.0.ZU;2-Z
Abstract
Object. Subdural fluid collections following transcortical intraventricular and/or paraventricular neurosurgical procedures for tumors are common and can be difficult to treat. The authors prospectively studied the efficacy o f a fibrin adhesive (Tisseel) in closing cortical and ependymal defects fol lowing intraventricular and/or paraventricular lesion resection and in prev enting the development of subdural fluid collections. Methods. Twenty-five patients who underwent 29 transcortical approaches for the resection of intraventricular and/or paraventricular lesions were stud ied. No patient developed a symptomatic subdural fluid collection and no ne w seizure or progression of a preexisting seizure disorder was encountered during a median follow-up time of 29 months (range 1-57 months). The incide nce of preoperative hydrocephalus was 72% and four (22%) of these patients required postoperative shunt placement. Conclusions. The use of a fibrin adhesive to seal cortical and ependymal de fects after transcortical procedures appears to prevent the development of subdural fluid collections.