Skip to main content
SpringerLink
Log in

Supratentorial space occupying lesions following infratentorial surgery early diagnosis and treatment

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

Supratentorial complications of infratentorial surgery are rare. In the last 3 years we have operated on 187 patients with infratentorial lesions and have observed an incidence of 3.7% of supratentorial haemorrhages. Postoperative intrcranial air, as shown by early postoperative CT control, was encountered mainly in a subdural frontal location and within the interhemispheric fissure. We performed no surgical decompression of the air accumulation because of the lack of clinical symptoms.

Predisposing factors for the development of supratentorial complications remote from the surgical area are hypertonia, female sex, brain atrophy and preoperative shunting procedures. Measures to avoid these complications are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Albin, M. S., Babinski, M., Maroon, J. C., Jannetta, P. J., Anesthetic management of posterior fossa surgery in the sitting position. Acta Anaesth. Scand.20 (1976), 117–128.

    PubMed  Google Scholar 

  2. Albright, L., Reigel, D. H., Management of hydrocephalus secondary to posterior fossa tumors. J. Neurosurg.46 (1977), 52–55.

    PubMed  Google Scholar 

  3. Ameli, N. O., Sodeify, N., Anterior fossa extradural haematoma following ventriculography through posterior burr-holes. Acta Neurochir. (Wien)13 (1965), 464–468.

    Google Scholar 

  4. Arnason, O., Jakobsson, K. E., Lindgren, S., Extracerebral nonhaemorrhagic expansive complications of intracranial surgery. Acta Neurochir. (Wien)67 (1983), 231–238.

    Google Scholar 

  5. Driesen, W., Elies, W., Epidural and subdural haematomas as a complication of internal drainage of cerebrospinal fluid in hydrocephalus. Acta Neurochir. (Wien)30 (1974), 85–93.

    Google Scholar 

  6. Frera, C., Supratentorial extradural haematomas secondary to ventricular decompression. Acta Neurochir. (Wien)20 (1969), 31–35.

    Google Scholar 

  7. Grundy, B. L., Spetzler, R. F., Subdural pneumocephalus resulting from drainage of cerebrospinal fluid during craniotomy. Anesthesiology52 (1980), 269–271.

    PubMed  Google Scholar 

  8. Haft, H., Liss, H., Mount, L. A., Massive epidural hemorrhage as a complication of ventricular drainage. J. Neurosurg.17 (1960), 49–54.

    PubMed  Google Scholar 

  9. Haines, S. J., Maroon, J. C., Jannetta, P. J., Supratentorial intracerebral hemorrhage following posterior fossa surgery. J. Neurosurg.49 (1978), 881–886.

    PubMed  Google Scholar 

  10. Higazi, I., Epidural hematoma as complication of ventricular drainage. J. Neurosurg.20 (1963), 527–528.

    PubMed  Google Scholar 

  11. Hitselberger, W. E., House, W. F., A warning regarding the sitting position for acoustic tumor surgery. Arch. Otolaryng.106, 1980.

  12. Jan, M., Gouaze, A., Elie, A., Lapierre, F., Santini, J. J., Hématome extra-dural après ponction ventriculaire au course d'une intervention sur la fosse postérieure. Neurochirurgie24 (1978), 137–139.

    PubMed  Google Scholar 

  13. Leunda, G., Cabezudo, J. M., Areitio, E., Vaquero, J., Gilsanz, F., Subdural tension pneumocephalus after posterior fossa operation: Is the inverted bottle phenomen on the only causative factor? Surg. Neurol.15 (1981), 303–305.

    PubMed  Google Scholar 

  14. Lunsford, L. D., Maroon, J. C., Sheptak, P. E., Albin, M. S., Subdural tension pneumocephalus. J. Neurosurg.50 (1979), 525–527.

    PubMed  Google Scholar 

  15. Osborn, A. G., Daines, J. H., Wing, S. D., Anderson, R. E., Intracranial air on computerized tomography. J. Neurosurg.48 (1978), 355–359.

    PubMed  Google Scholar 

  16. Raggio, J. F., Fleischer, A. S., Sung, Y. F., Hoffmann, J. C., Expanding pneumocephalus due to nitrous oxide anesthesia. Neurosurgery4 (1979), 261–263.

    PubMed  Google Scholar 

  17. Saidman, L. J., Eger, E. I., Change in cerebrospinal fluid pressure during pneumoencephalography under nitrous oxide anesthesia. Anesthesiology26 (1965), 67–72.

    PubMed  Google Scholar 

  18. Sanchez, J. J., Redondo, P. C., Lopez, J. F., Alvarez, A. D., Tratamiento del hematoma subdural cronico el metodo de Ectors. Revista Espanola de Oto-Neuro-Oftalmologia y Neurocirugia, Valencia28 (161), (1970), 10–16.

    Google Scholar 

  19. Spetzler, R. F., Wilson, C. P., Dural fistulas and their repair. In: Neurological Surgery (Youmans, J. R., ed.), pp. 2222–2227. Philadelphia-London-Toronto-Mexico City-Sydney-Tokyo: B. Saunders Comp. 1982.

    Google Scholar 

  20. Tindall, G. T., Craddock, A., Greenfield, J. C., Effects of the sitting position on blood flow in the internal carotid artery of man during general anesthesia. J. Neurosurg.26 (1967), 383–389.

    PubMed  Google Scholar 

  21. Toung, T., Donham, R. T., Lehner, A., Alano, J., Campbell, J., Tension pneumocephalus after posterior fossa craniotomy: Report of four additional cases and review of postoperative pneumocephalus. Neurosurgery12 (1983), 164–168.

    PubMed  Google Scholar 

  22. Weiss, R. M., Massive epidural hematoma complicating ventricular decompression. J. Neurosurg.21 (1964), 235–236.

    PubMed  Google Scholar 

  23. Yasargil, M. G., Subokzipitale-transmeatale mikrotechnische Exstirpation des Akustikusneurinoms. In: Kopf- und Hals-Chirurgie, Bd. 3 (Naumann, H. H., Hrsg.), S. 545–587. Stuttgart: Thieme. 1976.

    Google Scholar 

Download references

Author information

Author notes

  1. A. Harders

    Present address: Department of General Neurosurgery, Neurosurgical University Clinic, Freiburg i. Br., Federal Republic of Germany

Authors and Affiliations

  1. Department of General Neurosurgery, Neurosurgical University Clinic, Freiburg i. Br., Federal Republic of Germany

    J. Gilsbach & K. Weigel

Authors
  1. A. Harders
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Gilsbach
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K. Weigel
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Harders, A., Gilsbach, J. & Weigel, K. Supratentorial space occupying lesions following infratentorial surgery early diagnosis and treatment. Acta neurochir 74, 57–60 (1985). https://doi.org/10.1007/BF01413279

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01413279

Keywords

Search

Navigation