caa a22 4500 445329319 CHVBK 20180317142732.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10143-010-0304-3 doi (NATIONALLICENCE)springer-10.1007/s10143-010-0304-3 Postoperative intracranial haemorrhage: a review [Elektronische Daten] [Marc Seifman, Phillip Lewis, Jeffrey Rosenfeld, Peter Hwang] Postoperative haemorrhage (POH) is one of the most serious complications of any cranial neurosurgical procedure and is associated with significant morbidity and mortality. The relative paucity of work investigating this postoperative complication prompted us to undertake a review of the literature, focussing on demographic, clinical, and surgical risk factors. A literature search was undertaken using Ovid MEDLINE (1950-2009) using keywords including craniectomy, craniotomy, neurosurgery, intracranial, reoperation, repeat craniotomy, postoperative, haemorrhage, haematoma, and bleeding. The rates of POH following intracranial procedures reported in the literature vary greatly, and meaningful comparison is difficult. We defined postoperative haemorrhage as that following craniotomy, which is clinically significant and requires surgical evacuation. Risk factors include pre-existing medical comorbidities including hypertension, coagulopathies and haematological abnormalities, intraoperative hypertension and blood loss, certain lesion pathologies including tumours, chronic subdural haematomas, and deficiencies in haemostasis. We conclude by providing recommendations for clinical practice based on the literature reviewed to aid clinicians in the detection and avoidance of POH. Springer-Verlag, 2011 Postoperative nationallicence Reoperation nationallicence Craniotomy nationallicence Haemorrhage nationallicence Haematoma nationallicence Bleeding nationallicence Seifman Marc Department of Neurosurgery, The Alfred Hospital, Commercial Road, 3004, Melbourne, VIC, Australia aut Lewis Phillip Department of Neurosurgery, The Alfred Hospital, Commercial Road, 3004, Melbourne, VIC, Australia aut Rosenfeld Jeffrey Department of Neurosurgery, The Alfred Hospital, Commercial Road, 3004, Melbourne, VIC, Australia aut Hwang Peter Department of Neurosurgery, The Alfred Hospital, Commercial Road, 3004, Melbourne, VIC, Australia aut Neurosurgical Review Springer-Verlag 34/4(2011-10-01), 393-407 0344-5607 34:4<393 2011 34 10143 https://doi.org/10.1007/s10143-010-0304-3 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10143-010-0304-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Seifman Marc Department of Neurosurgery, The Alfred Hospital, Commercial Road, 3004, Melbourne, VIC, Australia aut NATIONALLICENCE 700 1- Lewis Phillip Department of Neurosurgery, The Alfred Hospital, Commercial Road, 3004, Melbourne, VIC, Australia aut NATIONALLICENCE 700 1- Rosenfeld Jeffrey Department of Neurosurgery, The Alfred Hospital, Commercial Road, 3004, Melbourne, VIC, Australia aut NATIONALLICENCE 700 1- Hwang Peter Department of Neurosurgery, The Alfred Hospital, Commercial Road, 3004, Melbourne, VIC, Australia aut NATIONALLICENCE 773 0- Neurosurgical Review Springer-Verlag 34/4(2011-10-01), 393-407 0344-5607 34:4<393 2011 34 10143 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer