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Research ArticleOriginal Article
Open Access

Efficacy of routine post-operative head computed tomography on cranial surgery patients outcome

Omar Qoqandi, Abdulaziz O. Almubarak, Mohammed Bafaquh, Abdullah Alobaid, Fahd Alsubaie, Abeer Alaglan, Dhuha A. Abukhamssin, Mariam A. Algharib, Abdulrazag I. Alsomali, Mahmoud Alyamani and Yasser orz
Neurosciences Journal August 2020, 25 (4) 281-286; DOI: https://doi.org/10.17712/nsj.2020.4.20200035
Omar Qoqandi
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Abdulaziz O. Almubarak
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Mohammed Bafaquh
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Abdullah Alobaid
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Fahd Alsubaie
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Abeer Alaglan
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Dhuha A. Abukhamssin
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Mariam A. Algharib
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Abdulrazag I. Alsomali
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Mahmoud Alyamani
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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Yasser orz
From the National Neuroscience Institute (Qoqandi, Almubarak, Alaglan, Abukhamssin, Algharib, Alsomali, orz, Bafaquh, Alobaid, Alsubaie, Alyamani), King Fahed Medical City, from the College of Medicine (Abukhamssin, Algharib) Princess Nourah bint Abdulrahman University, Riyadh, from the Department of Neurosurgery (Almubarak), Prince Mohammed Medical City, Aljouf, from the College of Medicine (Alaglan), Qassim University, Qassim, Kingdom of Saudi Arabia.
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    Figure 1

    Perioperative imaging of elective craniotomy and removal of left frontal mass. A) peroperative plain CT brain showed left frontoparietal subcortical hypodense lesion with central hyperdensity causing mass effect and compression on adjacent structures (arrow). B,C) Axial and sagittal peroperative MRI showing the same lesion, hyperintense on T2 weighted images (arrows). D) routine postoperative CT brain showing surgical site hematoma with compression on ipsilateral body of left lateral ventricle (arrow), causing midline shift.

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    TABLE 1

    Characteristics of the patients included in the study: age, gender, primary disease category and type of procedure.

    Characteristicsn (%)
    AgeAverage 46 years (18 - 77)
    Gender
    Female122 (55)
    Male100 (45%)
    Disease Category
    Neoplasm136 (61.2%)
    Vascular77 (34.6%)
    Infectious4 (1.8%)
    Functional/Epilepsy5 (2.2%)
    Type of Procedure
    craniotomy195 (87.8%)
    craniectomy12 (5.4%)
    Burr hole15 (6.7%)
    • View popup
    TABLE 2

    Showing positive and negative findings in neurological examination in less than 24 from surgery and corresponding’s routine postoperative CT brain findings.

    CT Brain FindingsNeurological ExaminationTotal
    Positive**Negative
    n (%)
    Positive*24 (10.8)8 (3.6)32 (14.4)
    Negative47 (21.2)143 (64.4)190 (85.5)
    Total71 (31.9)151 (68)222 (100)
    *Presence of abnormal worrisome finding (e. g. mass effect, significant hematoma, massive infarction). ** Presence of abnormal unexpected new clinical deterioration.
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Neurosciences Journal: 25 (4)
Neurosciences Journal
Vol. 25, Issue 4
1 Aug 2020
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Efficacy of routine post-operative head computed tomography on cranial surgery patients outcome
Omar Qoqandi, Abdulaziz O. Almubarak, Mohammed Bafaquh, Abdullah Alobaid, Fahd Alsubaie, Abeer Alaglan, Dhuha A. Abukhamssin, Mariam A. Algharib, Abdulrazag I. Alsomali, Mahmoud Alyamani, Yasser orz
Neurosciences Journal Aug 2020, 25 (4) 281-286; DOI: 10.17712/nsj.2020.4.20200035

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Efficacy of routine post-operative head computed tomography on cranial surgery patients outcome
Omar Qoqandi, Abdulaziz O. Almubarak, Mohammed Bafaquh, Abdullah Alobaid, Fahd Alsubaie, Abeer Alaglan, Dhuha A. Abukhamssin, Mariam A. Algharib, Abdulrazag I. Alsomali, Mahmoud Alyamani, Yasser orz
Neurosciences Journal Aug 2020, 25 (4) 281-286; DOI: 10.17712/nsj.2020.4.20200035
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