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When to discharge patients following a neuronavigation-assisted brain biopsy for supratentorial lesion? A single-center experience

dc.rights.licenseopenen_US
dc.contributor.authorMONGARDI, Lorenzo
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBELAROUSSI, Yaniss
dc.contributor.authorKARA, Mohammed
dc.contributor.authorLE PETIT, Laetitia
dc.contributor.authorGIMBERT, Edouard
dc.contributor.authorKERDILES, Gaelle
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDE COURSON DE LA VILLENEUVE, Hugues
dc.contributor.authorWAVASSEUR, Thomas
dc.contributor.authorLIGUORO, Dominique
dc.contributor.authorVIGNES, Jean-Rodolphe
hal.structure.identifierInstitut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
dc.contributor.authorJECKO, Vincent
dc.contributor.authorROBLOT, Paul
dc.date.accessioned2023-05-15T08:24:33Z
dc.date.available2023-05-15T08:24:33Z
dc.date.issued2023-06
dc.identifier.issn1872-6968 (Electronic) 0303-8467 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/182116
dc.description.abstractEnOBJECTIVE: Most brain biopsies are performed using the frame-based stereotactic technique and several studies describe the time taken and rate of complications, often allowing an early discharge. In comparison, neuronavigation-assisted biopsies are performed under general anesthesia and their complications have been poorly described. We examined the complication rate and determined which patients will worsen clinically. METHODS: All adults who underwent a neuronavigation-assisted brain biopsy for a supratentorial lesion from Jan, 2015, to Jan, 2021, in the Neurosurgical Department of the University Hospital Center of Bordeaux, France, were analyzed retrospectively in accordance with the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) statement. The primary outcome of interest was short-term (7 days) clinical deterioration. The secondary outcome of interest was the complication rate. RESULTS: The study included 240 patients. The median postoperative Glasgow score was 15. Thirty patients (12.6 %) showed acute postoperative clinical worsening, including 14 (5.8 %) with permanent neurological worsening. The median delay was 22 h after the intervention. We examined several clinical combinations that allowed early postoperative discharge. A preoperative Glasgow prognostic score of 15, Charlson Comorbidity Index ≤ 3, preoperative World Health Organization Performance Status ≤ 1, and no preoperative anticoagulation or antiplatelet treatment predicted postoperative worsening (negative predictive value, 96.3 %). CONCLUSION: Optical neuronavigation-assisted brain biopsies might require longer postoperative observation than frame-based biopsies. Based on strict preoperative clinical criteria, we consider to plan postoperative observation for 24 h a sufficient hospital stay for patients who undergo these brain biopsies.
dc.language.isoENen_US
dc.title.enWhen to discharge patients following a neuronavigation-assisted brain biopsy for supratentorial lesion? A single-center experience
dc.title.alternativeClin Neurol Neurosurgen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.clineuro.2023.107727en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed37119654en_US
bordeaux.journalClinical Neurology and Neurosurgeryen_US
bordeaux.volume229en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.institutionCNRS
bordeaux.teamBIOSTAT_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04097282
hal.version1
hal.date.transferred2023-05-15T08:24:43Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Clinical%20Neurology%20and%20Neurosurgery&rft.date=2023-06&rft.volume=229&rft.eissn=1872-6968%20(Electronic)%200303-8467%20(Linking)&rft.issn=1872-6968%20(Electronic)%200303-8467%20(Linking)&rft.au=MONGARDI,%20Lorenzo&BELAROUSSI,%20Yaniss&KARA,%20Mohammed&LE%20PETIT,%20Laetitia&GIMBERT,%20Edouard&rft.genre=article


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