Yıl: 2016 Cilt: 26 Sayı: 5 Sayfa Aralığı: 714 - 719 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research

Öz:
AIM: To compare the beneficial effects of cisternal blood clot evacuation with or without microsurgical fenestration of the lamina terminalis (LT) on symptomatic vasospasm during the course of aneurysmal subarachnoid hemorrhage. MATERIAL and METhODS: This was a clinical, retrospective study that included 72 patients with aneurysmal subarachnoid hemorrhage (aSAH). The patient group that underwent aneurysm clipping with only extensive cisternal drainage of the subarachnoid blood clot was defined as the non fenestrated lamina terminalis group (NonFLT group, n=39). The patient group that underwent aneurysm clipping with extensive cisternal drainage of the subarachnoid blood clot combined with microsurgical fenestration of LT was defined as the fenestrated lamina terminalis group (FLT group, n=33). All patients were operated by the same experienced neurovascular surgeon, the senior author of this article (MEU), and his colleagues. New cerebral infarct development was determined with computed tomography, Glasgow Outcome Score (GOS), clinical vasospasm rate and Hunt-Hess scale (H&H) grade before and after surgery and duration of hospital stay of the patients were assessed and compared. RESULTS: A favorable clinical outcome was obtained from 51.2% of the NonFLT group patients and 72.66% of the FLT group patients. And FLT group patients have better GOS and H&H grade. Clinical vasospasm rate and duration of hospital stay were also significantly reduced in FLT group patients. CONCLUSION: Wide fenestration of lamina terminalis as a cerebrospinal fluid diversion technique may be very beneficial in the surgical treatment of aneurysmal SAH.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Andaluz N, Zuccarello M: Fenestration of the lamina terminalis as a valuable adjunct in aneurysm surgery. Neurosurgery 55:1050-1059,2004
  • 2. Barnett H, Stein B, Mohr J, Yatsu F: Stroke; Pathophysiology, diagnosis, and management. Vol: 1. New York: Churchill Livingstone, 1986
  • 3. Bruneau M, Rynkowski M, Smida-Rynkowska K, Brotchi J, De Witte O, Lubicz B: Long-term follow-up survey reveals a high yield, up to 30% of patients presenting newly detected aneurysms more than 10 years after ruptured intracranial aneurysms clipping. Neurosurg Rev 34:485-496, 2011
  • 4. Claassen J, Bernardini GL, Kreiter K, Bates J, Du YE, Copeland D, Connolly ES, Mayer SA: Effect of cisternal and ventricular blood on risk of delayed cerebral ischemia after subarachnoid hemorrhage: The Fisher scale revisited. Stroke 32:2012-2020, 2001
  • 5. Dandy W: An operative procedure for hydrocephalus. Johns Hopkins Hosp Bull 33:189, 1922
  • 6. Frontera JA, Fernandez A, Schmidt JM, Claassen J, Wartenberg KE, Badjatia N, Cannolly ES: Defining vasospasm after subarachnoid hemorrhage: What is the most clinically relevant definition? Stroke 40:1963-1968, 2009
  • 7. Haque R, Kellner CP, Komotar RJ, Connolly ES, Lavine SD, Solomon RA, Meyers PM: Mechanical treatment of vasospasm. Neurol Res 31:638-643,2009
  • 8. Hop JW, Rinkel GJ, Algra A, Van Gijn J: Initial loss of consciousness and risk of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage. Stroke 30:2268- 2271,1999
  • 9. Kaku Y, Yamashita K, Kokuzawa J, Hatsuda N, Andoh T: Treatment of ruptured cerebral aneurysms - clip and coil, not clip versus coil. Acta Neurochir Suppl 107:9-13,2010
  • 10. Kim SS, Park DH, Lim DJ, Kang SH, Cho TH, Chung YG: Angiographic features and clinical outcomes of intraarterial nimodipine injection in patients with subarachnoid hemorrhage-induced vasospasm. J Korean Neurosurg Soc 52:172-178, 2012
  • 11. Kocaogullar Y, Ilik K, Esen H, Koc O, Guney O: Preventive effects of intraperitoneal selenium on cerebral vasospasm in experimental subarachnoid hemorrhage. J Neurosurg Anesthesiol 22:53-58, 2010
  • 12. Kodama N, Matsumoto M, Sasaki T, Konno Y, Sato T: Cisternal irrigation therapy with urokinase and ascorbic acid for prevention of vasospasm. Acta Neurochir Suppl 77:171- 174, 2001
  • 13. Komotar RJ, Hahn DK, Kim GH, Khandji J, Mocco J, Mayer SA, Connolly ES Jr: The impact of microsurgical fenestration of the lamina terminalis on shunt-dependent hydrocephalus and vasospasm after aneurysmal subarachnoid hemorrhage. Neurosurgery 62:123-132,2008
  • 14. Komotar RJ, Olivi A, Rigamonti D, Tamargo RJ: Microsurgical fenestration of the lamina terminalis reduces the incidence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery 51:1403-1413, 2002
  • 15. Komotar RJ, Zacharia BE, Mocco J, Connoly ES Jr: Controversies in the surgical treatment of ruptured intracranial aneurysms: The First Annual J. Lawrence Pool Memorial Research Symposium controversies in the management of cerebral aneurysms. Neurosurgery 62: 396-407, 2008
  • 16. Krayenbühl N, Erdem E, Oinas M, Krisht AF: Symptomatic and silent ischemia associated with microsurgical clipping of intracranial aneurysms: Evaluation with diffusion-weighted MRI. Stroke 40:129-133,2009
  • 17. Lehto H, Dashti R, Karataş A, Niemelä M, Hernesniemi JA: Third ventriculostomy through the fenestrated lamina terminalis during microneurosurgical clipping of intracranial aneurysms: An alternative to conventional ventriculostomy. Neurosurgery 64:430-434,2009
  • 18. Proust F, Hannequin D, Langlois O, Freger P, Creissard P: Causes of morbidity and mortality after ruptured aneurysm surgery in a series of 230 patients. The importance of control angiography. Stroke 26:1553-1557, 1995
  • 19. Qureshi AI, Sung GY, Razumovsky AY, Lane K, Straw RN, Ulatowski JA: Early identification of patients at risk for symptomatic vasospasm after aneurysmal subarachnoid hemorrhage. Crit Care Med 28: 984-990,2000
  • 20. Sakaki S, Ohta S, Kuwabara H, Shiraishi M: The role of ventricular and cisternal drainage in the early operation for ruptured intracranial aneurysms. Acta Neurochir 88:87-94, 1987
  • 21. Sasaki T, Kodama N, Kawakami M, Sato M, Asari J, Sakurai Y, Watanabe K, Onuma T, Matsuda T: Urokinase cisternal irrigation therapy for prevention of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage: A study of urokinase concentration and the fibrinolytic system. Stroke 31:1256-1262, 2000
  • 22. Smith ML, Abrahams JM, Chandela S, Smith MJ, Hurst RW, Le Roux PD: Subarachnoid hemorrhage on computed tomography scanning and the development of cerebral vasospasm: The Fisher grade revisited. Surg Neurol 63:229- 234, 2005
  • 23. Yasargil MG: Microsurgical anatomic features of the lamina terminalis. Neurosurgery 50:569-577, 2002
  • 24. Zacharia BE, Ducruet AF, Hickman ZL, Grobelny BT, Fernandez L, Schmidt JM, Narula R, Ko LN: Renal dysfunction as an independent predictor of outcome after aneurysmal subarachnoid hemorrhage: A single-center cohort study. Stroke 40:2375-2381, 2009
APA CENGİZ Ş, ILIK M, ERDİ F, ÜSTÜN M (2016). The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. , 714 - 719.
Chicago CENGİZ Şahika Liva,ILIK Mustafa Kemal,ERDİ Fatih,ÜSTÜN Mehmet Erkan The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. (2016): 714 - 719.
MLA CENGİZ Şahika Liva,ILIK Mustafa Kemal,ERDİ Fatih,ÜSTÜN Mehmet Erkan The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. , 2016, ss.714 - 719.
AMA CENGİZ Ş,ILIK M,ERDİ F,ÜSTÜN M The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. . 2016; 714 - 719.
Vancouver CENGİZ Ş,ILIK M,ERDİ F,ÜSTÜN M The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. . 2016; 714 - 719.
IEEE CENGİZ Ş,ILIK M,ERDİ F,ÜSTÜN M "The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research." , ss.714 - 719, 2016.
ISNAD CENGİZ, Şahika Liva vd. "The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research". (2016), 714-719.
APA CENGİZ Ş, ILIK M, ERDİ F, ÜSTÜN M (2016). The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. Turkish Neurosurgery, 26(5), 714 - 719.
Chicago CENGİZ Şahika Liva,ILIK Mustafa Kemal,ERDİ Fatih,ÜSTÜN Mehmet Erkan The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. Turkish Neurosurgery 26, no.5 (2016): 714 - 719.
MLA CENGİZ Şahika Liva,ILIK Mustafa Kemal,ERDİ Fatih,ÜSTÜN Mehmet Erkan The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. Turkish Neurosurgery, vol.26, no.5, 2016, ss.714 - 719.
AMA CENGİZ Ş,ILIK M,ERDİ F,ÜSTÜN M The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. Turkish Neurosurgery. 2016; 26(5): 714 - 719.
Vancouver CENGİZ Ş,ILIK M,ERDİ F,ÜSTÜN M The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. Turkish Neurosurgery. 2016; 26(5): 714 - 719.
IEEE CENGİZ Ş,ILIK M,ERDİ F,ÜSTÜN M "The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research." Turkish Neurosurgery, 26, ss.714 - 719, 2016.
ISNAD CENGİZ, Şahika Liva vd. "The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research". Turkish Neurosurgery 26/5 (2016), 714-719.