Surgical Complications Following Removal of Cerebello-Pontine Angle (CP) Lesions

  • BILAL KHAN Assistant Professor, Department of Neurosurgery, Lady Reading Hospital, Peshawar
  • Mumtaz ALI Professor and Head,Department of Neurosurgery, Lady Reading Hospit
  • IKRAMALAM . Department of Neurosurgery, Lady Reading Hospital, Peshawar
  • KHALID KHANZADA Assistant Professor, Department of Neurosurgery, Lady Reading Hospital, Peshawar
Keywords: Omplications, cerebellopontine angle, tumor, post operative

Abstract

Objective: To know about the complications requiring surgical intervention, following removal of cerebellopontine angle lesions.
Materials and Methods: We retrospectively reviewed the series of patients who underwent CP angle tumor surgery at our department between January 2010 to May 2014. The patient age and sex along with the chief complaints as well as prior surgery in the form of ventriculoperitoneal shunt or endoscopic third ventriculostomy (ETV) were recorded on a designed proforma. The derived based immediate surgical complications considered were; Cerebrospinal fluid (CSF) leak, post operative Hydrocephalus (HCP) needing a Ventriculperitoneal (VP) shunt, post operative hematoma needing re-exploration and death.
Results: A total of fifty six (n= 56) patients were included in this study, with 24 males and 32 females. Age ranged from 3 years to 65 years with a mean age of 41 years, duration of symptoms was from 8 days to 12 years. The means hospital stay was from 8 to 33 days. Prior surgery was performed in 12 patients (21.3%) with 7 patients having a VP shunt and 5 patients having an Endoscopic third ventriculostomy (ETV). CSF leak was encounterdin (7.6%) a deterioration in facial nerve function in 3 (5.4%) patients requiring lateral torsoraphy. Five patients needed immediate re-do surgery with 3 (5.4%) having a VP shunt and 2 (3.6%) patients requiring a re-exploration for post-op hematoma.
Conclusions: The immediate surgical complications of the CP angle surgery are the formation of hematoma, development of hydrocephalus while early complications requiring surgery are CSF Leak and facial nerve palsy. Almost all of them require far or less a surgical intervention for management.

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Published
2018-12-14
Section
Original Article