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Ommaya reservoirs in 387 cancer patients

A 15-year experience

From the Departments of Neuro-Oncology (Dr. Obbens), Head and Neck Surgery (Dr. Leavens). Nursing (Mrs. Beal), and Diagnostic Radiology (Dr. Lee). The University of Texas M.D. Anderson Hospital and Tumor Institute at Houston, Houston. TX.

We reviewed records of 387 patients with cancer who had Ommaya reservoirs placed between October 1967 and December 1982. Complications of reservoir placement were reported in 27 patients, including intracranial hemorrhage (5 patients) and reservoir malfunction (15 patients). In 15 of 19 patients with meningitis, the infection was linked to the reservoir. The organism most frequently implicated was Staphylococcus epidermidis. Seizures, leukoencephalopathy, and pericatheter necrosis were seen in 10 patients who had received intraventricular chemotherapy.

Address correspondence and reprint requests to Dr. Obbens. M.D. Anderson Hospital and Tumor Institute, 6723 Bertner Avenue, Houston. TX 77030.

Presented in part at the thirty-sixth annual meeting of the American Academy of Neurology, Boston, MA, April 1984.

Accepted for publication January 4, 1985.

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