Cite

Copy

Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Install/Install App' to create a shortcut app

Recovery From Surgery for Supratentorial Central Neurocytomas in Children

This page was last updated on January 25th, 2023

Postoperative Orders 

  • ICU vs. standard care: The patient is routinely sent to the ICU after surgery.
  • Ventilator support: Ventilator support may be necessary in cases where marked brain swelling develops during surgery, often as a sequella to tumor bleeding.
  • ICP parameters: In patients on elective ventilation, monitoring of ICP assumes importance.
  • CSF drainage parameters/drainage bag setup: An EVD may be left in cases where there is significant ventriculomegaly, or where there has been some intraventricular bleeding during surgery.
  • Radiologic studies: The author routinely obtains an early (within 24 hours) postoperative MRI to assess residual tumor.

Postoperative Morbidity

  • Intraventricular blood: Intraventricular bleeding may present with seizures or deterioration in level of consciousness. Intraventricular hematoma is potentially a significant morbidity after resection of intraventricular neurocytomas. For endoscopic approaches, the absence of hydrocephalus does not seem to affect the incidence of postoperative intraventricular hemorrhage (32, 33), although the procedure is certainly easier in the presence of ventricular dilation. Intraventricular hemorrhage often necessitates insertion of an EVD, but evacuation of the clot is rarely required (34).

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.