SMRČKA, Martin and Ondřej NAVRÁTIL. What is the risk of venous cerebellar infarction in the supracerebellar infratentorial approach? Neurosurgical Review. New York: Springer, 2021, vol. 44, No 2, p. 897-900. ISSN 0344-5607. Available from: https://dx.doi.org/10.1007/s10143-020-01269-4.
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Basic information
Original name What is the risk of venous cerebellar infarction in the supracerebellar infratentorial approach?
Authors SMRČKA, Martin (203 Czech Republic, belonging to the institution) and Ondřej NAVRÁTIL (203 Czech Republic, guarantor, belonging to the institution).
Edition Neurosurgical Review, New York, Springer, 2021, 0344-5607.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.800
RIV identification code RIV/00216224:14110/21:00120688
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s10143-020-01269-4
UT WoS 000562489000001
Keywords in English Supracerebellar infratentorial approach; Venous infarction; Bridging vein; Complication
Tags 14110224, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 7/12/2021 13:54.
Abstract
The supracerebellar infratentorial approach (SCITA) is a standard approach used in a neurosurgical practice. It carries some risk of associated complications including cerebellar venous infarction with possible serious sequelae. The objective of this study is to address the incidence of cerebellar venous infarction in SCITA. A search through the currently available literature was performed in September 2019 from the year 2000 until September 2019 dealing with ‘supracerebellar infratentorial approach’. Out of the 578 patients found in thirteen case series, two venous infarctions were present; the remaining four patients were published as case reports. By analysing the case series, we calculated the risk of such a complication to be 0.345% (95% CI [0.061%, 1.248%]). Case reports were not included. The real risk is estimated to be higher. The risk of cerebellar venous infarction is an unpredictable, infrequent but real complication with potentially dreadful sequelae. Each neurosurgeon using this approach should be aware of this event when employing this approach. The avoidance of cerebellar venous infarction can be lowered by leaving as many bridging veins intact as possible.
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