ArticleActa neurochirurgica2021
Brain infarctions after glioma surgery: prevalence, radiological characteristics and risk factors.
Article in Acta neurochirurgica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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22 citing papers in PubMed.
- Postoperative DWI morphology and neurological worsening after eloquent-area glioma surgery: a retrospective cohort study.Journal of neuro-oncology · 2026Article
- Radiological features of peritumoral brain injury and neurological outcomes after glioma surgery: a prospective observational study.Journal of neuro-oncology · 2026Observational
- Post-therapy imaging of adult brain tumours: patterns, pitfalls, and practical framework.Insights into imaging · 2026Article
- Obstacles and Trials in Treating Primary Brain Tumors.International journal of molecular sciences · 2026Review
- Postoperative ischemia and neurological deficits after glioma resection: A systematic review and meta-analysis.Neuro-oncology practice · 2026Review
- Asleep motor mapping in resected low-grade gliomas -a population based multicenter study.Brain & spine · 2026Article
- Impact of maximal and supramaximal resections on postoperative diffusion-weighted imaging changes and clinical outcomes in IDH-wildtype glioblastoma.Journal of neuro-oncology · 2025Article
- Article
- Intraoperative cerebral perfusion monitoring with ultrafast power doppler imaging.Scientific reports · 2025Article
- Diffusion changes in minimally invasive parafascicular approach for deep-seated tumours: impact on clinical outcomes.Neurosurgical review · 2025Article
- Delayed Deep White Matter Ischemia After Resection of Gliomas by Awake Surgery.Neurosurgery practice · 2024Article
- Survival implications of postoperative restricted diffusion in high-grade glioma and limitations of intraoperative MRI detection.Journal of neuro-oncology · 2024Article
- Mini-strokes after awake surgery for glioma resection: are there anesthesia related factors?Acta neurochirurgica · 2024Article
- Incidence, risk factors, and clinical implications of postoperative blood in or near the resection cavity after glioma surgery.Brain & spine · 2024Article
- Significance of Early Postoperative Magnetic Resonance Imaging following Intracranial Meningioma Resection.Journal of clinical medicine · 2023Article
- Changes and significance of serum ubiquitin carboxyl-terminal hydrolase L1 and glial fibrillary acidic protein in patients with glioma.World journal of clinical cases · 2023Article
- T1-Weighted Contrast Enhancement, Apparent Diffusion Coefficient, and Cerebral-Blood-Volume Changes after Glioblastoma Resection: MRI within 48 Hours vs. beyond 48 Hours.Tomography (Ann Arbor, Mich.) · 2023Article
- Risk factors for postoperative thrombosis-related complications in patients undergoing malignant brain tumor resection: a retrospective cohort study.Frontiers in neurology · 2023Article
- Predictive models and survival analysis of postoperative mental health disturbances in adult glioma patients.Frontiers in oncology · 2023Article
- Clinical and prognostic implications of rim restriction following glioma surgery.Scientific reports · 2022Article
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Abstract
backgroundPrevalence, radiological characteristics, and risk factors for peritumoral infarctions after glioma surgery are not much studied. In this study, we assessed shape, volume, and prevalence of peritumoral infarctions and investigated possible associated factors.
methodsIn a prospective single-center cohort study, we included all adult patients operated for diffuse gliomas from January 2007 to December 2018. Postoperative infarctions were segmented using early postoperative MRI images, and volume, shape, and location of postoperative infarctions were assessed. Heatmaps of the distribution of tumors and infarctions were created.
resultsMRIs from 238 (44%) of 539 operations showed restricted diffusion in relation to the operation cavity, interpreted as postoperative infarctions. Of these, 86 (36%) were rim-shaped, 103 (43%) were sector-shaped, 40 (17%) were a combination of rim- and sector-shaped, and six (3%) were remote infarctions. Median infarction volume was 1.7 cm
conclusionsIn the present study, peritumoral infarctions occurred in 44% after diffuse glioma operations. Infarctions were more common in patients operated for tumors in the temporal lobe but were not more common following recurrent surgeries. Sector-shaped infarctions were more common in patients with known cerebrovascular disease. Increasing age, larger tumors, and more perioperative bleeding were factors associated with infarction volumes. The risk of infarctions and infarction volumes may also be surgeon-dependent.
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