A Brief Report of Neurosurgical Procedures Performed on Confirmed COVID -19 Cases in a Tertiary Referral Center
Abdolreza Sheikhrezaei, M.D.; Nazi Derakhshanrad, M.D., PhD; Nima Ostadrahimi, M.D.; Soheil Naderi, M.D.; Zahid Hussain Khan, M.D.; Rastegar Rahmani Tanha, M.D.; and. Hooshang Saberi, M.D., PhD
We are very pleased to write these sentences about the collaboration between COVID-19 workers and neurosurgery discipline in our center in Tehran. In our neurosurgery ward, all the elective surgical procedures with a risk or evidence of COVID-19 involvements were postponed until abatement of the acute disease. Also during the disease outbreak period; emergency cases underwent treatment as usual with classic radiological and RT-PCR screening test for COVID-19 in all cases. During the last 3 months eleven out of 262 cases undergoing neurosurgical procedures were found confirmed for COVID-19 according to para-clinical and radiological criteria. In the following table you may find the summary of the confirmed Covid-19 cases undergoing neurosurgical procedures. They all underwent ICU admission, respiratory support and anti- coronavirus treatments. The alive cases are undergoing outpatient follow-up and their families are being screened for COVID-19.
Table 1. Summary of the confirmed COVID-19 cases undergoing neurosurgical procedures.
Case 1, was an olfactory meningioma with and uneventful surgery with late postoperative CSF rhinorrhea traveling to red zone with subsequent pulmonary sequel.