Page 52 - BH-3-1

Brain & Heart ICU admission post-craniotomy for tumor

Table 1. Common complications following elective craniotomy for brain tumor surgery
Authors Types of study Patients Complications Incidence (%) Year of
publication
Lonjaret et al. 11 Prospective 188 Neurologic: 26 (16.0) 2017
observational analytic – New motor deficit 12
– Dysphasia 6
– Seizures 2
– Deterioration of consciousness 10
Hemodynamic:
– Bradycardia (<45 beats/min) 15 (9.0)
– Arterial hypertension (MAP >110 mmHg) 5
– Arterial hypotension (MAP <60 mmHg) 10
– Myocardial ischemia 1
Respiratory 0 (0)
PONV: 42 (25.0)
– Early PONV (<4 h) 35
– Late PONV (4 h) 12
Metabolic:
– Hyperglycemia 11 (7.0)
– Diabetes insipidus 10
– Dysnatremia 1
Hemorrhage 1 (1.0)
Hyperthermia 1 (1.0)
Pain 11 (7.0)
Viken et al. 26 Retrospective review 1291 Cerebral infarction 22 (1.7) 2018
Cavity hematoma 18 (1.4)
Edema 5 (0.4)
Epileptic seizures 5 (0.4)
CSF-leak 5 (0.4)
Hydrocephalus 3 (0.2)
Arrhythmia 3 (0.2)
Other 13 (1.0)
Franko et al. 19 Retrospective 200 Early post-operative complications: 2018
observational cohort – Neurologic deficit in eight patients 8 (4.0)
study – Seizures 1 (0.5)
ICU complications:
– Seizures 6 (3.0)
– Symptomatic hematoma 2 (1.0)
– New unexpected focal neurologic deficits 3 (1.5)
– Areas of restricted diffusion suggestive of ischemia 4 (2.0)
– Venous infarction 1 (0 – 5)
– Acute respiratory failure 2 (1.0)
Gu et al. 20 Retrospective analysis 659 Emergence delirium 131 (21.2) 2022
of a prospective study
Decavèle Retrospective 196 Acute respiratory failure 88 (45) 2017
et al. 32 observational cohort Seizures 49 (25)
study
Non-epileptic coma 27 (14)
Wang et al. 22 Retrospective analysis 2259 post-operative hemorrhage 40 (0.018) 2019
Huang et al. 22 Retrospective analysis 659 Post-operative delirium 124 (18) 2021
of a prospective cohort.
Yao et al. 24 Retrospective cohort 724 Post-operative strokes 98 (13.5) 2023
analysis
Abbreviations: MAP: Mean arterial pressure; PONV: Post-operative nausea and vomiting; CSF: Cerebrospinal fluid.

Volume 3 Issue 1 (2025) 4 doi: 10.36922/bh.3802