Pseudomeningocele Following Posterior Cranial Fossa Surgery Significantly Increases the Risk of Intracranial Infection: A 10-Year Retrospective Analysis.

Background: Posterior fossa craniotomy is commonly performed for various pathologies. However, intra-cranial infection following craniotomy causes morbidity. Pseudomeningocele is one of the main complications following posterior fossa operation. This study aimed to test the hypothesis that the risk of intra-cranial infection is increased in patients who undergo posterior fossa craniotomy with pseudomeningocele compared with those without pseudomeningocele. Methods: We retrospectively analyzed the data of patients undergoing posterior fossa craniotomy for the management of neurological pathologies at our institute from 2011 to 2020. A total of 308 craniotomies were included, and the primary outcome of interest was the occurrence of intra-cranial infection. Standard statistical methods were used to explore associations between several parameters, including pseudomeningocele, intra-cranial infection, and wound leak. Results: Of the 308 craniotomies, 41 (13.3%) developed intra-cranial infection and 59 (19.2%) involved pseudomeningocele. Of cases involving pseudomeningocele, 27 (45.8%) developed an intra-cranial infection compared with only 14 of 249 without pseudomeningocele (5.6%; p < 0.001). In the multi-variable analysis, pseudomeningocele was associated with intra-cranial infection (odds ratio [OR] 8.56; 95% confidence interval [CI] 3.145-23.299; p < 0.001) and wound leak (OR 91.339; 95% CI 10.437-799.364; p < 0.001). Conclusion: The findings indicate that patients undergoing posterior fossa craniotomy are at a greater risk of intra-cranial infection if there is pseudomeningocele after the operation.

[Epigenetic phenomena of plant polyploids].

Epigenetic phenomena, heritable changes in phenotype, and hence in gene regulation, but not in DNA sequence, occur in the process of polyploidization in many plants. These phenomena include gene silencing, DNA methylation, nucleolar dominance, transposable elements activation and genomic imprinting. Epigenetic phenomena might be caused by gene silencing or alternative gene expression from intergenomic interaction. These could also be induced from the changes of histone coding, without DNA methylation. Furthermore, hypomethylation, chromatin reconstitution or transposable element activation could contribute to epigenetic phenomena. These modifications may give rise to the diversification of gene expressing, to the genetic and cytological diploidization, as well as to intergenomic coordination. This paper reviews epigenetic phenomena in many plants and their influence on evolution of plant genome, thus hint the likely pathway of research in this field.