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Experience with Ommaya Reservoir in 120 Consecutive Patients with Meningeal Malignancy

Published online by Cambridge University Press:  18 September 2015

R.G. Perrin*
Affiliation:
Department of Neurological Surgery, The Wellesley Hospital, Toronto
M. Lishner
Affiliation:
Department of Neurological Surgery, The Wellesley Hospital, Toronto
A. Guha
Affiliation:
Department of Neurological Surgery, The Wellesley Hospital, Toronto
J. Curtis
Affiliation:
Department of Neurological Surgery, The Wellesley Hospital, Toronto
R. Feld
Affiliation:
Department of Neurological Surgery, The Wellesley Hospital, Toronto
H. Messner
Affiliation:
Department of Neurological Surgery, The Wellesley Hospital, Toronto
*
160 Wellesley Street East, Suite 314, Jones Building, Toronto, Ontario, Canada M4Y 1J3
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Abstract:

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The Ommaya Reservoir plays an important role in a select group of neuro-oncology patients with meningeal malignancy. The benefits derived must be balanced against potential complications associated with insertion and use of the apparatus. Side effects may be minimized by careful attention to patient selection, pre-operative CAT scan (or MRI), precise surgical technique, perioperative prophylactic antibiotics and meticulous procedure during use of the reservoir.

Résumé:

RÉSUMÉ:

Le réservoir d'Òmmaya joue un rôle important en neuro-oncologie chez un groupe sélectionné de patients atteints de néoplasie méningée. Les bénéfices escomptés doivent être pesés en regard des complications possibles associées avec la mise en place et l'utilisation de ce dispositif. Les effets secondaires peuvent être minimisés par un choix judicieux des patients, un CAT scan pré-opératoire (ou MRI), une technique chirurgicale précise, une antibiothérapie péri-opératoire prophylactique et une procédure méticuleuse pendant l'utilisation du réservoir.

Type
Neurosurgical Symposium - William S. Keith, Visiting Professorship in Neurosurgery
Copyright
Copyright © Canadian Neurological Sciences Federation 1990

References

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