Intrinsic tumors of the medulla: Surgical complications

Rick Abbott; Tania Shiminski-Maher; Jeffrey H. Wisoff; Fred J. Epstein

doi:10.1159/000120604

Intrinsic tumors of the medulla: Surgical complications

Rick Abbott, Tania Shiminski-Maher, Jeffrey H. Wisoff, Fred J. Epstein

Research output: Contribution to journal › Article › peer-review

36 Scopus citations

Abstract

Intrinsic focal tumor of the medulla oblongata is an uncommon entity. Of the 51 cases presenting for treatment of a brainstem glioma between 1984 and 1990, only 7 were confined to the medulla. Radical excision was performed on each patient. Four of the first 5 patients who were extubated in the recovery room had CO₂ retention, with associated respiratory arrest and hypoxia. Three suffered permanent cranial nerve deficits as a result. It is the purpose of this report to describe the serious complications of medullary surgery and to make recommendations as to how they may be avoided.

Original language	English (US)
Pages (from-to)	239-244
Number of pages	6
Journal	Pediatric neurosurgery
Volume	17
Issue number	5
DOIs	https://doi.org/10.1159/000120604
State	Published - 1991
Externally published	Yes

Keywords

Brainstem glioma
Complications, postoperative
Surgery

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery
Clinical Neurology

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10.1159/000120604

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abstract = "Intrinsic focal tumor of the medulla oblongata is an uncommon entity. Of the 51 cases presenting for treatment of a brainstem glioma between 1984 and 1990, only 7 were confined to the medulla. Radical excision was performed on each patient. Four of the first 5 patients who were extubated in the recovery room had CO2 retention, with associated respiratory arrest and hypoxia. Three suffered permanent cranial nerve deficits as a result. It is the purpose of this report to describe the serious complications of medullary surgery and to make recommendations as to how they may be avoided.",

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AB - Intrinsic focal tumor of the medulla oblongata is an uncommon entity. Of the 51 cases presenting for treatment of a brainstem glioma between 1984 and 1990, only 7 were confined to the medulla. Radical excision was performed on each patient. Four of the first 5 patients who were extubated in the recovery room had CO2 retention, with associated respiratory arrest and hypoxia. Three suffered permanent cranial nerve deficits as a result. It is the purpose of this report to describe the serious complications of medullary surgery and to make recommendations as to how they may be avoided.

KW - Brainstem glioma

KW - Complications, postoperative

KW - Surgery

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Intrinsic tumors of the medulla: Surgical complications

Abstract

Keywords

ASJC Scopus subject areas

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