Nakaji / Beaumont / Dacey, Jr. Colloid Cysts of the Third Ventricle

Natural History, Decision-Making, and Operative Management
1. Auflage 2025
ISBN: 978-1-63853-680-2
Verlag: Thieme
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 180 Seiten, ePub

Collective wisdom and expert insights on the management of challenging colloid cysts Few conditions provoke more consternation and controversy among neurosurgeons than colloid cysts, due to their proximity to critical neurovascular structures, broad range of clinical presentation, and the risk of sudden death from increased intracranial pressure. Colloid Cysts of the Third Ventricle: Natural History, Decision-Making, and Operative Management edited by renowned neurosurgeons Peter Nakaji, Thomas L. Beaumont, and Ralph G. Dacey, Jr., fills the void in the literature. A who's who of master practitioners share personal perspectives and well-reasoned options for managing challenging colloid cysts. Advances in neurosurgical technique, both endoscopic and microsurgical, have created options for colloid cysts that render the "best" approach the subject of significant debate. The book brings together what is known and what is controversial from an impressive group of seasoned neurosurgeons in 5 parts, 18 chapters, and a collection of online videos. Impressively illustrated, the textbook presents salient background information, various techniques, and case study context, thereby enabling clinicians to interpret and inform various colloid cyst management strategies and surgical approaches.Key FeaturesContributions from an honor roll of distinguished neurosurgical experts from North America and around the globeDiscussion of nuances in colloid cyst clinical presentation, imaging, management, and surgical anatomyA consensus panel on colloid cysts lays a solid foundation of knowledge, enhanced with personal perspectives and brief case studies from experienced practitionersClear and succinct organization, insightful illustrations, high-quality diagnostic images, videos, and tables enrich a tome that constitutes a fundamental resource for readers The knowledge gleaned from these pages will enhance the ability of neurosurgeons at any stage to provide thoughtful, up-to-date options to patients with colloid cysts, with the ultimate goal of improved outcomes.This print book includes complimentary access to a digital copy on https://medone.thieme.com.Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

Autoren/Hrsg.

Nakaji, Peter

Beaumont, Thomas

Dacey, Jr., Ralph

Dacey, Jr.

Jr.,

Dacey, Ralph

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Onkologie, Krebsforschung
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Neurochirurgie

Inhaltsverzeichnis

Part I: Development, Anatomy, and Neuroimaging 1. Developmental Origins of the Cerebral Ventricular System and Colloid Cysts 2. Anatomy of the Third Ventricle 3. Neuroimaging of Colloid Cysts Part II: Natural History, Clinical Decision-Making and Treatment Overview 4. Natural History of Colloid Cysts of the Third Ventricle 5. Overview of Surgical Management for Colloid Cysts of the Third Ventricle 6. Consensus Panel Regarding the Diagnosis and Surgical Management of Colloid Cysts Part III: Open Microsurgical Management of Colloid Cysts 7. The Microsurgical Resection of Colloid Cysts of the Third Ventricle: Transcallosal Approach 8. The Transcortical Approach 9. Transcortical Transventricular Approach for Colloid Cysts and Salvage Approaches by Converting to Open Resection Part IV: Endoscopic Management of Colloid Cysts 10. The Endoscopic Resection of Colloid Cysts 11. Pure Endoscopic Resection of Colloid Cysts 12. Endoscopic Resection of Colloid Cysts of the Third Ventricle: 20 Years at Washington University Part V: Atlas of Illustrated Clinical Cases 13. Case Vignette: The Interhemispheric Transcallosal Approach for Resection of Colloid Cysts 14. Principles of Surgical Management: Transcortical Approaches 15. Colloid Cysts of the Third Ventricle: The Tubular Retractor Approach 16. Endoscopic Resection of Colloid Cyst of the Third Ventricle Using a Suction-Morcellation Device 17. Bimanual Endoscopic Technique Using an Anterolateral Approach for the Resection of Colloid Cysts 18. Resection of Colloid Cysts Using Flexible Endoscopy: How I Do It?

Leseproben

Contents
Title Page Videos Foreword Preface The History of Surgery for Colloid Cysts Introduction Background History Complications of Craniotomy and Stereotactic Approaches Section I Development, Anatomy, and Neuroimaging 1 Developmental Origins of the Cerebral Ventricular System and Colloid Cysts 1.1 Background 1.2 Neurodevelopment and the Cerebral Ventricles 1.2.1 Ependyma Development 1.2.2 Choroid Plexus Development 1.2.3 Development of Colloid Cysts 1.3 Conclusion 1.4 References 2 Anatomy of the Third Ventricle 2.1 Introduction 2.2 Lateral Walls 2.3 Anterior Wall 2.4 Posterior Wall 2.5 Floor 2.6 Roof 2.7 References 2.8 Suggested Readings 3 Neuroimaging of Colloid Cysts 3.1 Introduction 3.2 CT Imaging 3.3 MR Imaging 3.3.1 Cisternography 3.3.2 Positron Emission Tomography 3.3.3 Angiography 3.4 Imaging Differential Diagnosis 3.5 References Section II Natural History, Clinical Decision-Making, and Treatment Overview 4 Natural History of Colloid Cysts of the Third Ventricle 4.1 Introduction and Historical Perspective 4.2 The Colloid Cyst Risk Score 4.2.1 Incidental Patients 4.2.2 Symptomatic Patients 4.2.3 Risk Factors for Hydrocephalus 4.2.4 Acute Hydrocephalus and Death 4.2.5 Clinical Decision-Making and the CCRS 4.3 Conclusion 4.4 References 5 Overview of Surgical Management for Colloid Cysts of the Third Ventricle 5.1 Introduction 5.2 Management of Obstructive Hydrocephalus and Cerebrospinal Fluid Dynamics 5.3 Stereotactic Drainage 5.4 Transcranial Open Microsurgical Approaches 5.5 Endoscopic Surgery 5.6 Comparative Analysis 5.7 Conclusion 5.8 References 6 Consensus Panel Regarding the Diagnosis and Surgical Management of Colloid Cysts 6.1 Historical Perspective 6.1.1 General Points 6.2 Surveillance Imaging for Asymptomatic Patients 6.3 Indications for Surgery 6.4 Timing of Surgery 6.5 Approach Selection 6.5.1 Interhemispheric Transcallosal Approach 6.5.2 Transcortical Transventricular Approach 6.5.3 Single Burr Hole Endoscopic Approach 6.6 Surgical Adjuncts 6.6.1 Septostomy 6.6.2 Transchoroidal Approach 6.6.3 External Ventricular Drain Placement after Surgery 6.7 Extent of Resection and Cyst Wall Remnants 6.8 Follow-Up and Outcome Measures 6.9 Cases Reviewed 6.9.1 Case 1 ( ? Fig. 6.1) 6.9.2 Case 2 ( ? Fig. 6.2) 6.9.3 Case 3 ( ? Fig. 6.3) 6.9.4 Case 4 ( ? Fig. 6.4) 6.9.5 Case 5 ( ? Fig. 6.5) 6.9.6 Case 6 ( ? Fig. 6.6) 6.9.7 Case 7 ( ? Fig. 6.7) 6.9.8 Case 8 ( ? Fig. 6.8) 6.9.9 Case 9 ( ? Fig. 6.9) 6.9.10 Case 10 ( ? Fig. 6.10) 6.9.11 Case 11 ( ? Fig. 6.11) 6.10 References Section III Open Microsurgical Management of Colloid Cysts 7 The Microsurgical Resection of Colloid Cysts of Third Ventricle: Transcallosal Approach 7.1 Introduction 7.2 Epidemiology and Clinical Features 7.3 Clinical Evaluation and Radiological Diagnosis 7.4 Surgical Planning and Approach Strategies 7.5 Indications for Surgery 7.6 Surgical Anatomy of Third Ventricle and Technique of Transcallosal Approach 7.7 Advantages, Limitations, and Complications of the Anterior Transcallosal Approach 7.8 Illustrated Clinical Case of CCTV—How I Do It? 7.9 Nuances in Clinical Decision-Making and Approach toward Management 7.10 Surgical Plan and Preparation 7.11 Step-by-Step Techniques in Anterior Transcallosal Approach and Excision of CCTV ( ? Fig. 7.4) 7.12 Postoperative Course and Follow-Up 7.13 Future Trends 7.14 Conclusion 7.15 Acknowledgments 7.16 References 8 The Transcortical Approach 8.1 Introduction 8.2 Surgical Technique 8.2.1 Access to the Lateral Ventricle 8.2.2 Transventricular Access to the Lesion via the Foramen of Monro 8.2.3 Lesion Resection 8.2.4 Closure and Postoperative Care 8.3 Rationale and Advantages 8.4 Conclusion 8.5 References 9 Transcortical Transventricular Approach for Colloid Cysts and Salvage Approaches by Converting to Open Resection 9.1 Introduction 9.2 Anatomy 9.3 Surgical Techniques 9.4 Review of the Literature for Colloid Cyst Resection: Comparison of Endoscopic, Transcallosal, and Transcortical/Transventricular Approaches 9.5 Conversion from Endoscopic to Open Resection 9.6 Conclusion 9.7 References Section IV Endoscopic Management of Colloid Cysts 10 The Endoscopic Resection of Colloid Cysts 10.1 The Evolution of Neuroendoscopy in Colloid Cyst Removal 10.2 Anterolateral Entry Point 10.3 Cyst Evacuation 10.4 Bimanual Sharp Dissection 10.5 Use of the Endoscopic Sheath 10.6 Gross Total Resection 10.7 Small Chamber Irrigation Technique and Dry Field Technique for Hemostasis 10.8 Technique of Colloid Cyst Resection 10.9 Selection of the Best Approach Tailored to Each Individual Patient 10.10 Case Presentation: “How I Do It” 10.10.1 Clinical Presentation, Nuances of Clinical Decision-Making, and Endoscopic Management 10.10.2 Surgical Procedure 10.10.3 Postoperative Course 10.11 References 11 Pure Endoscopic Resection of Colloid Cysts 11.1 Introduction 11.2 Advantages and Disadvantages of Endoscopic Approach 11.3 30-Degree Working Channel Neuroendoscope 11.4 The Anterolateral Approach to Endoscopic Resection 11.4.1 Instrument Preparation 11.4.2 Patient Positioning and Neuronavigation 11.4.3 Incision, Burr Hole, and Ventricular Entry 11.4.4 Colloid Cyst Capsule Cautery and Excision 11.4.5 Restoration of CSF Dynamics 11.5 Clinical Outcomes 11.6 Illustrative Example: Endoscopic Approach for Resection of a Recurrent Colloid Cyst in the Foramen of Monro 11.6.1 History of Present Illness, Physical Examination, and Imaging 11.6.2 Clinical Decision-Making 11.6.3 Operative Setup and Preparation 11.6.4 Burr Hole Placement and Ventricular Entry 11.6.5 Choroid Plexus and Cyst Cauterization 11.6.6 Cyst Removal 11.6.7 Closure and Follow-Up 11.7 References 12 Endoscopic Resection of Colloid Cysts of the Third Ventricle: 20 Years at Washington University 12.1 Introduction 12.2 Endoscopic Technique 12.3 Clinical Outcomes 12.4 Complications 12.5 Cyst Wall Remnants and Recurrence 12.6 Total Inpatient Cost 12.7 Discussion and Current Strategy 12.8 References Section V Atlas of Illustrated Clinical Cases 13 Case Vignette: The Interhemispheric Transcallosal Approach for Resection of Colloid Cysts 13.1 Clinical Course 13.2 Surgical Technique ( ? Video 13.1) 14 Principles of Surgical Management: Transcortical Approaches 14.1 History and Physical Examination 14.2 Imaging 14.3 Operative Procedure 14.4 Postoperative Course 15 Colloid Cysts of the Third Ventricle: The Tubular Retractor Approach 15.1 Introduction 15.2 Illustrative Case 15.3 Operative Technique 15.4 Conclusion 15.5 References 16 Endoscopic Resection of Colloid Cyst of the Third Ventricle Using a Suction-Morcellation Device 16.1 Introduction 16.2 Case Description and Surgical Decision-Making 16.3 Surgical Technique 16.4 Surgical...