Preoperative shunts in thalamic tumours.
Neurol India
;
2000 Dec; 48(4): 347-50
Article
in English
| IMSEAR
| ID: sea-120022
ABSTRACT
Thirty one patients with thalamic glioma underwent a pre-tumour resection shunt surgery. The procedure was uneventful in 23 patients with relief from symptoms of increased intracranial pressure. Eight patients worsened after the procedure. The level of sensorium worsened from excessively drowsy state to unconsciousness in seven patients. Three patients developed hemiparesis, 4 developed paresis of extra-ocular muscles and altered pupillary reflexes, and 1 developed incontinence of urine and persistent vomiting. Alteration in the delicately balanced intracranial pressure and movements in the tumour and vital adjacent brain areas could be the probable cause of the worsening in the neurological state in these 8 patients. On the basis of these observations and on review of literature, it is postulated that the ventricular dilatation following an obstruction in the path of the cerebrospinal fluid flow by a tumour could be a natural defense phenomenon of the brain.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Postoperative Complications
/
Thalamic Diseases
/
Brain Neoplasms
/
Preoperative Care
/
Female
/
Humans
/
Male
/
Cerebrospinal Fluid Shunts
/
Child
/
Adolescent
Language:
English
Journal:
Neurol India
Year:
2000
Type:
Article
Similar
MEDLINE
...
LILACS
LIS