Risk factors of aseptic meningitis after microvascular decompression
10.3760/cma.j.issn.1671-8925.2018.12.000
- VernacularTitle:微血管减压术后并发无菌性脑膜炎的危险因素分析
- Author:
Cheng SHU
1
;
Hui ZHANG
;
Yong'an HUANG
;
Lu CHEN
;
Jialong XU
;
Gangge CHENG
Author Information
1. 解放军空军特色医学中心神经外科
- Keywords:
Microvascular decompression;
Aseptic meningitis;
Risk factor
- From:
Chinese Journal of Neuromedicine
2018;17(12):1261-1264
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of aseptic meningitis (AM) after microvascular decompression (MVD) to provide evidence for preventing the occurrence of AM. Methods One hundred and forty-one patients diagnosed as having trigeminal neuralgia or hemifacial spasm, admitted to our hospital from January 2014 to December 2016, were chosen. A retrospective analysis was performed on these clinical data. Eighteen related factors of AM were analyzed by Logistic regression model. Results The result of single analysis of related factors showed that gender, age, diabetes, operation time, skill level of the operator, injection of dexamethasone, and postoperative dressing time were related to AM after MVD (P<0.05). Multifactor Logistic regression analysis showed that gender (OR=2.920, P=0.015), diabetes (OR=0.200, P=0.026), and non-injection of dexamethasone (OR=7.970, P=0.002) were independent risk factors of postoperative AM. Conclusion The male or diabetic patients have high rate of postoperative AM; and the risk of postoperative AM would be reduced if we inject dexamethasone to the cerebellopontine angle cistern at the end of MVD.
