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Papers of the Week

2019 Jun 21

J Neurosurg

Neural network-based identification of patients at high risk for intraoperative cerebrospinal fluid leaks in endoscopic pituitary surgery.


Staartjes VE, Zattra CM, Akeret K, Maldaner N, Muscas G, Bas van Niftrik C H, Fierstra J, Regli L, Serra C
J Neurosurg. 2019 Jun 21:1-7.
PMID: 31226693.


Although rates of postoperative morbidity and mortality have become relatively low in patients undergoing transnasal transsphenoidal surgery (TSS) for pituitary adenoma, cerebrospinal fluid (CSF) fistulas remain a major driver of postoperative morbidity. Persistent CSF fistulas harbor the potential for headache and meningitis. The aim of this study was to investigate whether neural network-based models can reliably identify patients at high risk for intraoperative CSF leakage.