Abstract

The incidence of intracranial tumor is 5% of that of systemic tumor. Some of them are presented as large ones because of slow growth. The higher complications are challenging due to their potential behaviors after resection such as large residual cavity, cortex collapse and bridging vein rupture.

Highlights

  • The total resection rate of large intracranial tumors was significantly improved with the great advances of microneurosurgical techniques and the application of a series of haemostatic materials [1]

  • After the resection of giant intracranial tumor, there are many complications caused by residual cavity which include acute subdural hematoma (SDH), remote epidural hematoma (EDH), residual cavity hematoma (RCH), ischemic cerebral infarction, subcutaneous and tumor cavity tension effusion

  • The volume of the tumor was calculated using the following formula: 0.5 × a × b × c, where a and b are the largest diameters measured on Computer Tomography (CT) or Magnetic Resonance Imaging (MRI) and c is the slice thickness; 2) All the patients were reviewed by neurosurgery specialists at least twice to ensure that the entered data and diagnoses were complete and accurate; 3) Patients did not have the history of diabetes, hypertension and have not undergone anticoagulant and anti-platelet treatment

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Summary

Introduction

The total resection rate of large intracranial tumors was significantly improved with the great advances of microneurosurgical techniques and the application of a series of haemostatic materials [1]. Mortality and disability were significantly lower, postoperative complications, which are the main problems of neurosurgeon, are life-threatening events that clinicians need to take as a possible risk [2]. After the resection of giant intracranial tumor, there are many complications caused by residual cavity which include acute subdural hematoma (SDH), remote epidural hematoma (EDH), residual cavity hematoma (RCH), ischemic cerebral infarction, subcutaneous and tumor cavity tension effusion. A possible mechanism is proposed to explain this phenomenon and cavity-related complications have been successfully avoided by applying Foley balloon catheter after the resection of giant intracranial tumor

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