J 2021

What is the risk of venous cerebellar infarction in the supracerebellar infratentorial approach?

SMRČKA, Martin and Ondřej NAVRÁTIL

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.800

RIV identification code

RIV/00216224:14110/21:00120688

Organization unit

Faculty of Medicine

UT WoS

000562489000001

Keywords in English

Supracerebellar infratentorial approach; Venous infarction; Bridging vein; Complication

Tags

Tags

International impact, Reviewed
Změněno: 7/12/2021 13:54, Mgr. Tereza Miškechová

Abstract

V originále

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.