Medicina Alternativă: fiziologie clinică şi metode de tratament 2010; Vol. 15: 29-32


Summary

Neurological and cognitive complications due to the positioning of patient during occipital craniotomy

A. Litovcenco


The article examines comparative data of postoperative neurological and cognitive complications due to the positioning of patient during occipital craniotomy. A retrospective study of 57 children with cerebellar tumors who have undergone craniotomy in a sitting position or lying on their side was conducted. Data were collected in the National Scientific and Practical Center of Pediatric Surgery "Natalia Gheorghiu" (Department of Neurosurgery) during the period January 2001 – December 2009. Functional disorders of the cranial nerves were frequently observed in the postoperative period of occipital craniotomy performed in the horizontal position of patients; convulsions were frequently observed in the performance of neurosurgical interventions in a sitting position; disorders of cognitive functions (preclinical, abortive, neurotic, verbal, autistic, psychotic syndromes) do not depend on the position of patients during surgery.

Keywords
cerebellar tumor, craniotomy, positioning the patient, complications

 
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