[The analysis of complications after surgical treatment of primary brain stem diseases].

OBJECTIVE

To analyze the complications of the surgical treatment on primary brain stem diseases.

METHODS

From January 2000 to December 2005, 38 patients with primary brain stem diseases underwent surgical operation. The data of the patients were retrospectively analyzed.

RESULTS

The incidence of complication was 97% (37/38), and the mortality rate was 3% (1/38). The rate of hypesthesia was 37% (14/38), and 43% (6/14) improved 3 month after operation. Hemiplegia rate was 55% (21/38), and the recovery rate was 57% (12/21), the others improved. Disturbance of eyes movement happened in 7 patients among 8 diencephalon disease patients, 5 patients recovered. The rate of facial paresis among pons disease patients was 77% (10/13), 4 patients recovered. Severe complication such as disturbance of consciousness, breath and circulation failure were very low, and the outcome was very good.

CONCLUSIONS

The rate of complication that affects living quality is low, most of complications are improved. It means that the complication of brain stem operation is acceptable, so the brain stem disease should be treated actively.