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Peer-reviewed veterinary case report

How brain pressure affects recovery after dog brain tumor surgery

By Seki, Seri et al.·Published in The Journal of veterinary medical science·2019·Department of Veterinary Medicine, Japan·View original on PubMed

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Original publication title: Impact of intracranial hypertension on the short-term prognosis in dogs undergoing brain tumor surgery.

Species:
dog

Plain-English summary

A group of 17 dogs undergoing brain tumor surgery were monitored for intracranial pressure (ICP) during and after the procedure. Unfortunately, five of the dogs died within two weeks post-surgery due to complications like respiratory failure and seizures. However, the 12 dogs that survived showed improvement in their neurological signs by the time they were discharged. The study found that high ICP levels after surgery were linked to a higher risk of death, indicating that managing ICP is crucial for better outcomes in these cases.

People also search for: dog brain tumor surgery recovery · high intracranial pressure in dogs · dog seizure treatment after surgery

Abstract

The present study used data from anesthetic records to analyze variables of intracranial pressure (ICP) during brain tumor surgery or in the early postoperative period as prognostic indicators in dogs. Data from 17 dogs which were scheduled to undergo elective craniotomy for brain tumor surgery from 2009 to 2012 were included. Of these, five (29.4%) died during 14 days after the surgery because of respiratory failure following pneumonia (n=2), euthanasia due to difficulty in treatment of status epilepticus (n=1), tumor-bed hematoma (n=1), and unknown reason (n=1). In the 12 surviving dogs, neurological signs were improved or resolved at discharge. All dogs were administered midazolam and droperidol-fentanyl as premedication. General anesthesia was induced using propofol maintained on isoflurane and oxygen. Direct ICP was obtained via a Codman Microsensor strain gauge transducer. ICP hypertension (>13 mmHg) measured after 15 min of recovery from the moment after discontinuation of anesthesia by turning off the vaporizer dial was associated with poor prognosis (odds ratio, 20.00; 95% confidence interval, 1.39-287.60, P=0.028). This suggests that intracranial pressure influences the postoperative mortality rate in dogs undergoing brain tumor surgery.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30982789/