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The sellar barrier and intraoperative CSF leak in elderly patients

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dc.contributor.author Ries Centeno, Tomás
dc.contributor.author Villalonga, Juan Francisco
dc.contributor.author Saenz, Amparo
dc.contributor.author Marcó Del Pont, Francisco
dc.contributor.author Cervio, Andrés Eduardo
dc.contributor.author Campero, Álvaro
dc.date.accessioned 2021-03-26T11:05:35Z
dc.date.available 2021-03-26T11:05:35Z
dc.date.issued 2020-03
dc.identifier.citation Centeno, T.R., Villalonga, J.F., Saenz, A., Del Pont, F.M., Cervio, A., Campero, A., 2020. The sellar barrier and intraoperative CSF leak in elderly patients. J Clin Neurosci 73, 48–50. https://doi.org/10.1016/j.jocn.2020.01.078 es_ES
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/391
dc.identifier.uri https://doi.org/10.1016/j.jocn.2020.01.078
dc.description.abstract Cerebral spinal fluid (CSF) leak is a significant complication in pituitary surgery, increasing both patient morbidity and mortality. In a recent publication, Campero et al. observed worse postoperative prognosis and increased risk of intraoperative CSF leak in patients with reduced sellar barrier thickness. The objective of this study was to analyze the association between sellar barrier thickness and intraoperative CSF leak in older individuals. A retrospective review was conducted of 44 transsphenoidal surgery resections for pituitary adenomas, 24 microscopic and 20 purely endoscopic procedures. Presence of intraoperative CSF fistula was significantly greater in patients with weak sellar barrier (thickness under 1 mm), compared to strong sellar barrier (52.94% vs 3.70% p < 0.0001, respectively). Application of this novel concept may help improve surgical technique selection as well as predict risk of intraoperative CSF leak and need for eventual use of flaps for reconstruction. es_ES
dc.language.iso eng es_ES
dc.publisher Churchill Livingstone (Elsevier) es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Pituitary Gland es_ES
dc.subject Hipófisis es_ES
dc.subject Pituitary Neoplasms es_ES
dc.subject Neoplasias Hipofisarias es_ES
dc.subject Skull Base es_ES
dc.subject Base del Cráneo es_ES
dc.subject Cerebrospinal Fluid es_ES
dc.subject Líquido Cefalorraquídeo es_ES
dc.title The sellar barrier and intraoperative CSF leak in elderly patients es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Ries Centeno, Tomás. Fleni. Departamento de Neurología; Argentina.
dc.description.fil Fil: Villalonga, Juan Francisco. Universidad Nacional de Tucumán. Facultad de Medicina; Argentina.
dc.description.fil Fil: Saenz, Amparo. Universidad Nacional de Tucumán. Facultad de Medicina; Argentina.
dc.description.fil Fil: Marcó Del Pont, Francisco. Fleni. Departamento de Neurología; Argentina. Universidad Nacional de Tucumán. Facultad de Medicina; Argentina.
dc.description.fil Fil: Cervio, Andrés Eduardo. Fleni. Departamento de Neurología; Argentina.
dc.description.fil Fil: Campero, Álvaro. Fleni. Departamento de Neurología; Argentina. Hospital Padilla. Departamento de Neurocirugía; Argentina.
dc.relation.ispartofVOLUME 74
dc.relation.ispartofPAGINATION 48-50
dc.relation.ispartofCOUNTRY Escosia
dc.relation.ispartofCITY Edimburgo
dc.relation.ispartofTITLE Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
dc.relation.ispartofISSN 1532-2653
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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