F Dallier1, C Di Roio2. 1. Pierre Wertheimer Neurosurgical and Neurological Hospital, Hospices Civils de Lyon, 59, boulevard Pinel, 69500 Bron, France. Electronic address: frederic.dailler@chu-lyon.fr. 2. Pierre Wertheimer Neurosurgical and Neurological Hospital, Hospices Civils de Lyon, 59, boulevard Pinel, 69500 Bron, France. Electronic address: claudio.di-roio@chu-lyon.fr.
Abstract
INTRODUCTION: The sitting position for pineal tumour removal remains controversial as regards the number of potential complications despite good surgical conditions. METHOD: A systematic review of the literature was conducted in order to record the most frequent complications observed in this position, their incidence and prevention. RESULTS: Venous air embolism, hypotension, pneumocephalus, macroglossia, quadriplegia and nerve injuries are the most frequent complications observed. Their incidence can be dramatically decreased with an accurate anesthesiological and neurosurgical management. CONCLUSION: In training teams, the sitting position remains the gold standard for pineal tumour removal.
INTRODUCTION: The sitting position for pineal tumour removal remains controversial as regards the number of potential complications despite good surgical conditions. METHOD: A systematic review of the literature was conducted in order to record the most frequent complications observed in this position, their incidence and prevention. RESULTS:Venous air embolism, hypotension, pneumocephalus, macroglossia, quadriplegia and nerve injuries are the most frequent complications observed. Their incidence can be dramatically decreased with an accurate anesthesiological and neurosurgical management. CONCLUSION: In training teams, the sitting position remains the gold standard for pineal tumour removal.