Predictive Factors of Postoperative Peritumoral Brain Edema after Meningioma Resection
Background: Postoperative peritumoral brain edema (PTBE) is the progressively exacerbating cerebral edema following meningiomas resection. Objective: The study aims to identify the predictive factors of postoperative PTBE. Materials and Methods: A retrospective study was conducted on the 117 cases o...
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| Veröffentlicht in: | Neurology India 2021-11, Vol.69 (6), p.1682-1687 |
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| creator | Li, Liang-Ming Zheng, Wen-Jian Chen, Ying-Zhi Hu, Zi-Hui Liao, Wei Lin, Qi-Chang Zhu, Yong-Hua Huang, Han-Tian Lin, Shao-Hua Gong, Jian |
| description | Background: Postoperative peritumoral brain edema (PTBE) is the progressively exacerbating cerebral edema following meningiomas resection.
Objective: The study aims to identify the predictive factors of postoperative PTBE.
Materials and Methods: A retrospective study was conducted on the 117 cases of patients who underwent meningioma. The histopathological features of the tumors were re-assessed according to WHO 2016 classification. Clinical and pathohistological features were analyzed.
Results: Thirteen patients (11.1%) were diagnosed having postoperative PTBE. Preoperative seizure (odds ratio [OR] = 6.125, P = 0.039) and histological prominent nucleoli (OR = 3.943, P = 0.039) were the independent risk factors for postoperative PTBE. Meningiomas with a parietal localization were more likely to develop postoperative PTBE (OR = 3.576, P = 0.054). Brain invasion and large tumor volume did not increase complication rate. Preoperative edema index was significantly higher in brain invasive meningiomas (3.0 ± 2.2 versus 1.8 ± 1.7, P = 0.001). Patients having moderate preoperative PTBE were prone to the complication (21.4% versus 7.9%, P = 0.100).
Conclusions: Preoperative seizure were the predictive factors for postoperative PTBE. Careful venous protection during the operation may be helpful, especially for tumors locating in the parietal lobe. Prominent nucleoli observed in postoperative pathology should warrant surgeons' attention. Comprehensive perioperative management is essential for these patients. |
| doi_str_mv | 10.4103/0028-3886.333500 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_2614565873</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A688059511</galeid><sourcerecordid>A688059511</sourcerecordid><originalsourceid>FETCH-LOGICAL-c492i-7301332c053ad2e0946e5fe0aaaab9547f80b59f3af2e460629dce127a20a91e3</originalsourceid><addsrcrecordid>eNptkc1vGyEQxVHVKHHT3HuqVup5HT4WFo6plbSVEtWKkl4RZgeLZBdc2K3V_764TtJGMhwQM7_3EPMQ-kDwvCGYnWNMZc2kFHPGGMf4DZoRpWTdYErfotlL-wS9y_mhXBkj9BidsEa1Sgg1Qz-WCTpvR_8Lqitjx5hyFV21jHmMG0jmb2MJyY_TEJPpq8_J-FBddjCYyrgRUnUDwYe1j6VwCxmKVwzv0ZEzfYazp_MU3V9d3i2-1tffv3xbXFzXtlHU1y3DhDFqMWemo4BVI4A7wKasleJN6yReceWYcRQagQVVnQVCW0OxUQTYKfq0992k-HOCPOqHOKVQntRUkIYLLlv2j1qbHrQPLo7J2MFnqy-ElJgrTkih6gPUGkIZQx8DOF_Kr_j5Ab7sMhtvDwrwXmBTzDmB05vkB5N-a4L1Lk-9C0zvAtP7PIvk49P_ptUA3YvgOcACLPbANvYljPzYT1tIurCPIW5fGdf_GWsiJNXP2bM_2UKt4w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2614565873</pqid></control><display><type>article</type><title>Predictive Factors of Postoperative Peritumoral Brain Edema after Meningioma Resection</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Li, Liang-Ming ; Zheng, Wen-Jian ; Chen, Ying-Zhi ; Hu, Zi-Hui ; Liao, Wei ; Lin, Qi-Chang ; Zhu, Yong-Hua ; Huang, Han-Tian ; Lin, Shao-Hua ; Gong, Jian</creator><creatorcontrib>Li, Liang-Ming ; Zheng, Wen-Jian ; Chen, Ying-Zhi ; Hu, Zi-Hui ; Liao, Wei ; Lin, Qi-Chang ; Zhu, Yong-Hua ; Huang, Han-Tian ; Lin, Shao-Hua ; Gong, Jian</creatorcontrib><description>Background: Postoperative peritumoral brain edema (PTBE) is the progressively exacerbating cerebral edema following meningiomas resection.
Objective: The study aims to identify the predictive factors of postoperative PTBE.
Materials and Methods: A retrospective study was conducted on the 117 cases of patients who underwent meningioma. The histopathological features of the tumors were re-assessed according to WHO 2016 classification. Clinical and pathohistological features were analyzed.
Results: Thirteen patients (11.1%) were diagnosed having postoperative PTBE. Preoperative seizure (odds ratio [OR] = 6.125, P = 0.039) and histological prominent nucleoli (OR = 3.943, P = 0.039) were the independent risk factors for postoperative PTBE. Meningiomas with a parietal localization were more likely to develop postoperative PTBE (OR = 3.576, P = 0.054). Brain invasion and large tumor volume did not increase complication rate. Preoperative edema index was significantly higher in brain invasive meningiomas (3.0 ± 2.2 versus 1.8 ± 1.7, P = 0.001). Patients having moderate preoperative PTBE were prone to the complication (21.4% versus 7.9%, P = 0.100).
Conclusions: Preoperative seizure were the predictive factors for postoperative PTBE. Careful venous protection during the operation may be helpful, especially for tumors locating in the parietal lobe. Prominent nucleoli observed in postoperative pathology should warrant surgeons' attention. Comprehensive perioperative management is essential for these patients.</description><identifier>ISSN: 0028-3886</identifier><identifier>EISSN: 1998-4022</identifier><identifier>DOI: 10.4103/0028-3886.333500</identifier><identifier>PMID: 34979669</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Brain cancer ; Brain Edema - etiology ; Care and treatment ; Cerebral edema ; Complications ; Complications and side effects ; Edema ; Humans ; Magnetic Resonance Imaging ; Meningeal Neoplasms - surgery ; Meningioma ; Meningioma - surgery ; Retrospective Studies ; Risk factors ; Surgery ; Tumors</subject><ispartof>Neurology India, 2021-11, Vol.69 (6), p.1682-1687</ispartof><rights>COPYRIGHT 2021 Medknow Publications and Media Pvt. Ltd.</rights><rights>2021. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492i-7301332c053ad2e0946e5fe0aaaab9547f80b59f3af2e460629dce127a20a91e3</citedby><cites>FETCH-LOGICAL-c492i-7301332c053ad2e0946e5fe0aaaab9547f80b59f3af2e460629dce127a20a91e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34979669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Liang-Ming</creatorcontrib><creatorcontrib>Zheng, Wen-Jian</creatorcontrib><creatorcontrib>Chen, Ying-Zhi</creatorcontrib><creatorcontrib>Hu, Zi-Hui</creatorcontrib><creatorcontrib>Liao, Wei</creatorcontrib><creatorcontrib>Lin, Qi-Chang</creatorcontrib><creatorcontrib>Zhu, Yong-Hua</creatorcontrib><creatorcontrib>Huang, Han-Tian</creatorcontrib><creatorcontrib>Lin, Shao-Hua</creatorcontrib><creatorcontrib>Gong, Jian</creatorcontrib><title>Predictive Factors of Postoperative Peritumoral Brain Edema after Meningioma Resection</title><title>Neurology India</title><addtitle>Neurol India</addtitle><description>Background: Postoperative peritumoral brain edema (PTBE) is the progressively exacerbating cerebral edema following meningiomas resection.
Objective: The study aims to identify the predictive factors of postoperative PTBE.
Materials and Methods: A retrospective study was conducted on the 117 cases of patients who underwent meningioma. The histopathological features of the tumors were re-assessed according to WHO 2016 classification. Clinical and pathohistological features were analyzed.
Results: Thirteen patients (11.1%) were diagnosed having postoperative PTBE. Preoperative seizure (odds ratio [OR] = 6.125, P = 0.039) and histological prominent nucleoli (OR = 3.943, P = 0.039) were the independent risk factors for postoperative PTBE. Meningiomas with a parietal localization were more likely to develop postoperative PTBE (OR = 3.576, P = 0.054). Brain invasion and large tumor volume did not increase complication rate. Preoperative edema index was significantly higher in brain invasive meningiomas (3.0 ± 2.2 versus 1.8 ± 1.7, P = 0.001). Patients having moderate preoperative PTBE were prone to the complication (21.4% versus 7.9%, P = 0.100).
Conclusions: Preoperative seizure were the predictive factors for postoperative PTBE. Careful venous protection during the operation may be helpful, especially for tumors locating in the parietal lobe. Prominent nucleoli observed in postoperative pathology should warrant surgeons' attention. Comprehensive perioperative management is essential for these patients.</description><subject>Brain cancer</subject><subject>Brain Edema - etiology</subject><subject>Care and treatment</subject><subject>Cerebral edema</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Edema</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Meningeal Neoplasms - surgery</subject><subject>Meningioma</subject><subject>Meningioma - surgery</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Tumors</subject><issn>0028-3886</issn><issn>1998-4022</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkc1vGyEQxVHVKHHT3HuqVup5HT4WFo6plbSVEtWKkl4RZgeLZBdc2K3V_764TtJGMhwQM7_3EPMQ-kDwvCGYnWNMZc2kFHPGGMf4DZoRpWTdYErfotlL-wS9y_mhXBkj9BidsEa1Sgg1Qz-WCTpvR_8Lqitjx5hyFV21jHmMG0jmb2MJyY_TEJPpq8_J-FBddjCYyrgRUnUDwYe1j6VwCxmKVwzv0ZEzfYazp_MU3V9d3i2-1tffv3xbXFzXtlHU1y3DhDFqMWemo4BVI4A7wKasleJN6yReceWYcRQagQVVnQVCW0OxUQTYKfq0992k-HOCPOqHOKVQntRUkIYLLlv2j1qbHrQPLo7J2MFnqy-ElJgrTkih6gPUGkIZQx8DOF_Kr_j5Ab7sMhtvDwrwXmBTzDmB05vkB5N-a4L1Lk-9C0zvAtP7PIvk49P_ptUA3YvgOcACLPbANvYljPzYT1tIurCPIW5fGdf_GWsiJNXP2bM_2UKt4w</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Li, Liang-Ming</creator><creator>Zheng, Wen-Jian</creator><creator>Chen, Ying-Zhi</creator><creator>Hu, Zi-Hui</creator><creator>Liao, Wei</creator><creator>Lin, Qi-Chang</creator><creator>Zhu, Yong-Hua</creator><creator>Huang, Han-Tian</creator><creator>Lin, Shao-Hua</creator><creator>Gong, Jian</creator><general>Wolters Kluwer India Pvt. 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Lin, Shao-Hua ; Gong, Jian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492i-7301332c053ad2e0946e5fe0aaaab9547f80b59f3af2e460629dce127a20a91e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Brain cancer</topic><topic>Brain Edema - etiology</topic><topic>Care and treatment</topic><topic>Cerebral edema</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Edema</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Meningeal Neoplasms - surgery</topic><topic>Meningioma</topic><topic>Meningioma - surgery</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Liang-Ming</creatorcontrib><creatorcontrib>Zheng, Wen-Jian</creatorcontrib><creatorcontrib>Chen, Ying-Zhi</creatorcontrib><creatorcontrib>Hu, Zi-Hui</creatorcontrib><creatorcontrib>Liao, Wei</creatorcontrib><creatorcontrib>Lin, Qi-Chang</creatorcontrib><creatorcontrib>Zhu, Yong-Hua</creatorcontrib><creatorcontrib>Huang, Han-Tian</creatorcontrib><creatorcontrib>Lin, Shao-Hua</creatorcontrib><creatorcontrib>Gong, Jian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Neurology India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Liang-Ming</au><au>Zheng, Wen-Jian</au><au>Chen, Ying-Zhi</au><au>Hu, Zi-Hui</au><au>Liao, Wei</au><au>Lin, Qi-Chang</au><au>Zhu, Yong-Hua</au><au>Huang, Han-Tian</au><au>Lin, Shao-Hua</au><au>Gong, Jian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive Factors of Postoperative Peritumoral Brain Edema after Meningioma Resection</atitle><jtitle>Neurology India</jtitle><addtitle>Neurol India</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>69</volume><issue>6</issue><spage>1682</spage><epage>1687</epage><pages>1682-1687</pages><issn>0028-3886</issn><eissn>1998-4022</eissn><abstract>Background: Postoperative peritumoral brain edema (PTBE) is the progressively exacerbating cerebral edema following meningiomas resection.
Objective: The study aims to identify the predictive factors of postoperative PTBE.
Materials and Methods: A retrospective study was conducted on the 117 cases of patients who underwent meningioma. The histopathological features of the tumors were re-assessed according to WHO 2016 classification. Clinical and pathohistological features were analyzed.
Results: Thirteen patients (11.1%) were diagnosed having postoperative PTBE. Preoperative seizure (odds ratio [OR] = 6.125, P = 0.039) and histological prominent nucleoli (OR = 3.943, P = 0.039) were the independent risk factors for postoperative PTBE. Meningiomas with a parietal localization were more likely to develop postoperative PTBE (OR = 3.576, P = 0.054). Brain invasion and large tumor volume did not increase complication rate. Preoperative edema index was significantly higher in brain invasive meningiomas (3.0 ± 2.2 versus 1.8 ± 1.7, P = 0.001). Patients having moderate preoperative PTBE were prone to the complication (21.4% versus 7.9%, P = 0.100).
Conclusions: Preoperative seizure were the predictive factors for postoperative PTBE. Careful venous protection during the operation may be helpful, especially for tumors locating in the parietal lobe. Prominent nucleoli observed in postoperative pathology should warrant surgeons' attention. Comprehensive perioperative management is essential for these patients.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>34979669</pmid><doi>10.4103/0028-3886.333500</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Brain cancer Brain Edema - etiology Care and treatment Cerebral edema Complications Complications and side effects Edema Humans Magnetic Resonance Imaging Meningeal Neoplasms - surgery Meningioma Meningioma - surgery Retrospective Studies Risk factors Surgery Tumors |
| title | Predictive Factors of Postoperative Peritumoral Brain Edema after Meningioma Resection |
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