SynthesisChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2013
A comprehensive analysis of early outcomes and complication rates after 769 craniotomies in pediatric patients.
Synthesis in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 32 citations in OpenAlex.
- Post-operative events following elective craniotomy for tumor in children.Journal of neuro-oncology · 2025Article
- Central nervous system tuberculoma mimicking a brain tumor: A case report.Radiology case reports · 2024Article
- Diagnostic Significance of Targeted Next-Generation Sequencing in Central Nervous System Infections in Neurosurgery of Pediatrics.Infection and drug resistance · 2023Article
- The effect of tumor removal via craniotomies on preoperative hydrocephalus in adult patients with intracranial tumors.Neurosurgical review · 2020Article
- Morbidity associated with 30-day surgical site infection following nonshunt pediatric neurosurgery.Journal of neurosurgery. Pediatrics · 2017Article
- Risk factors for surgical site infection following nonshunt pediatric neurosurgery: a review of 9296 procedures from a national database and comparison with a single-center experience.Journal of neurosurgery. Pediatrics · 2017Article
- Prospective review of 30-day morbidity and mortality in a paediatric neurosurgical unit.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2017Review
- Clinicopathological features and microsurgical outcomes for giant pediatric intracranial tumor in 60 consecutive cases.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2017Article
- Article
- Does size matter? Minimally invasive approach in pediatric neurosurgery--a review of 125 minimally invasive surgeries in children: clinical history and operative results.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015Article
- Safety, feasibility and complications during resective pediatric epilepsy surgery: a retrospective analysis.BMC anesthesiology · 2014Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePerioperative complications following craniotomy in pediatric neurosurgery have received little attention. We analyzed perioperative complications and early outcomes following craniotomy in a large cohort of pediatric patients.
methodsA retrospective chart review identified 769 operations (27 % epilepsy surgery, 26 % trauma, 21 % tumor, 7 % vascular, 4 % infections, 14 % other, and 88 % supratentorial) in 641 patients <16 years (mean age 8.5 years). We recorded all perioperative complications and functional outcomes 30 days after surgery.
resultsExcluding epilepsy surgery cases, 17.5 % patients had emergency surgery. There were 38 new major neurological deficits (5.0 %; excluding deficits incurred as part of the surgical strategy). New neurological deficits occurred more frequently following operations for brain tumors, when compared to other surgeries (P < 0.001), and after surgery for infratentorial lesions (P < 0.001). Local complications occurred in 3.9 %, systemic complications in 2.5 % of patients. Ventricular shunting or endoscopic ventriculostomy was necessary in 87 patients (11.3 %). Surgical mortality was 2.0 % (including moribund patients after trauma or vascular incidence). Preoperative Karnofsky Performance Index (KPI) and the incurrence of new neurological deficits proved the most powerful predictors of functional outcome. Emergency surgery or repeat craniotomies were not correlated with increased rates of local complications.
conclusionsCraniotomies for pediatric patients carry a low morbidity and mortality. Systemic complications seem to occur less often in the pediatric than in the adult population. Good surgical outcomes require a proper balance between local pediatric neurosurgical care for emergency cases and centralized treatment of more difficult cases.
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