Coronal and sagittal cuts were obtained during parietal or temporal craniotomies, and axial and sagittal slices in the case of frontal masses. After brain tumour. La incidencia de infecciones de craneotomía está en torno al 5%, con un rango entre . 2) had undergone an operation involving nasal sinuses (frontal sinus). Spanish term or phrase: craneotomia bifronto-orbitaria The “frontal bone” is “A cranial bone consisting of a vertical portion corresponding to.

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P1 in females and castrated males was at 2. Parameters for autoclave procedure or which type of solution hydrogen peroxide, povidone-iodine, clorhexidine or others is optimum are not well-defined features. Also, patients received equal systemic endovenous antibiotherapy and oral antibiotics after discharge, until complete resolution of infection and wound healing.

Another patient suffered left hemiparesis after the initial intervention that resulted in hemiplegia when the infection occurred but ultimately improved to mild left upper limb paresis after ten months follow up. Although this is a safe procedure and several simple-to-use cranioplasty materials have been developed, excellent cosmetic results are not always easy to achieve.

Craneotomía guiada por ultrasonografía bidimensional para exéresis de tumor cerebral supratentorial

Even though this is a very limited series of patients, we were able to clear all the craniotomy infections and save every cranetomia. Se cultivaron diversas especies de Staphyloccocus en todos los pacientes. Some authors consider indispensable autoclave sterilization of a frozen-preserved bone flap before reposition, a method that does not seem to increase the risk of infection or bone resorption Mean depth of the lesions was 5.

Avda Cid 96, Burgos. Table 1 summarizes the clinical data of the patients.

Here’s my stab at this. First, the wound was reopened, all devitalized tissues were carefully removed, purulent collections were thoroughly cleaned and samples for microbiological culture obtained. The wound was closed in a single layer with non-absorbable suture. Still, in these preserved bones there is a chance for non-sterile conservation due to technical reasons or contamination during the intraoperative handling.


The total number of craniotomies performed in that period was and the overall rate of infection was 2. Access to Document Link to publication in Scopus.

Arabic PRO pts in category: Patients and methods We retrospectively reviewed the records of 5 patients in whom a craniotomy infection was diagnosed.

Login to enter a peer comment or grade. The method we present is as effective as theirs and avoids such complication since only small quantities of antibiotic solutions 20 cc are instilled during each dose administration.

Reviewing applications can be fun and only takes a few minutes. Multivariate analyses have demonstrated that the presence of a CSF leak and the performance of repeated operations are the main independent risk factors for craniotomy infection, with associated odds ratios for infection as high as and 7, respectively 13, Br J Neurosurg ; In all patients in the present series species of Staphyloccocus were cultured, two cases demonstrating strains of S.

Drains are properly secured with non-absorbable suture. In any case, bone sterilization can be easily performed intraoperatively. Surg Neurol ; The term “craniotomy infection” does not necessarily imply the presence of purulent collections in a cranial space in particular either subgaleal, epidural or below the dura mater.

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Acta Neurochir Wien ; Administration of a single prophylactic dose of vancomycin was recommended in a large randomized trial on the basis of a significantly reduced bone flap infection rate 4. During the year we performed 2-D ultrasonographic localization studies in patients undergoing excision of subcortical supratentorial brain tumours whose nature was pathologically proven.

The standard treatment for infected craniotomies is bone flap discarding and delayed cranioplasty. Peer comments on this answer and responses from the answerer. Preservation of craniotomy bone flaps under the scalp. J Neurosurg ; When the bone flap hits the floor. The amount of removed tumour was also verified by a post-contrast computerized tomography CT scan performed after the surgery.


Postcraniotomy meningitis seems to be increased in patients undergoing interventions entering the sinus, those harbouring external ventricular drains or intracranial pressure probes and patients with higher ASA score, as it has been recently reported Options include frozen 8,20subcutaneous 19 and under-the-scalp 12 preservation.

No reliable data is available on the influence of other possible factors such as prior comorbidity, medications used in common neuro-anaesthetic procedures, the type of incision lineal versus curved flaps or whether the scalp was shaved or not. Hemostasis was achieved with bipolar forceps and the aid of absorbable hemostatic agents.

Auguste and McDermott have recently published in Journal of Neurosurgery a case series of 12 patients in which salvage procedures for infected craniotomy bone flaps were performed 1. After brain tumour removal and after a thorough irrigation with saline, new image acquisitions were performed to confirm the completeness of tumour excision.

The study group was composed by 30 patients with ages comprised between 28 and 82 years. We retrospectively reviewed the records of 5 patients with craniotomy infection that presented with wound swelling, purulent discharge and fever. Other trials have shown that second and third generation cephalosporin 7,21 or fusidic acid 18 seem to be as effective as vancomycin or combined treatments for preventing craniotomy infection.

Castilla et al have reported that minimum shaving of the incision line scalp does not seem to predispose to infection 6. Postoperative CT scans confirmed the completeness of tumour removal in the patients of the study as assessed by intraoperative ultrasounds.