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: 6 - ePub Watermark

E-Book, Englisch, 180 Seiten, ePub

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. 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 Features

• Contributions from an honor roll of distinguished neurosurgical experts from North America and around the globe
• Discussion of nuances in colloid cyst clinical presentation, imaging, management, and surgical anatomy
• A consensus panel on colloid cysts lays a solid foundation of knowledge, enhanced with personal perspectives and brief case studies from experienced practitioners
• Clear 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 Chirurgie Neurochirurgie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Onkologie, Krebsforschung

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

1. Title Page
2. Videos
3. Foreword
4. Preface
5. The History of Surgery for Colloid Cysts
   1. Introduction
   2. Background
   3. History
      1. Complications of Craniotomy and Stereotactic Approaches
6. Section I Development, Anatomy, and Neuroimaging
7. 1 Developmental Origins of the Cerebral Ventricular System and Colloid Cysts
   1. 1.1 Background
   2. 1.2 Neurodevelopment and the Cerebral Ventricles
      1. 1.2.1 Ependyma Development
      2. 1.2.2 Choroid Plexus Development
      3. 1.2.3 Development of Colloid Cysts
   3. 1.3 Conclusion
   4. 1.4 References
8. 2 Anatomy of the Third Ventricle
   1. 2.1 Introduction
   2. 2.2 Lateral Walls
   3. 2.3 Anterior Wall
   4. 2.4 Posterior Wall
   5. 2.5 Floor
   6. 2.6 Roof
   7. 2.7 References
   8. 2.8 Suggested Readings
9. 3 Neuroimaging of Colloid Cysts
   1. 3.1 Introduction
   2. 3.2 CT Imaging
   3. 3.3 MR Imaging
      1. 3.3.1 Cisternography
      2. 3.3.2 Positron Emission Tomography
      3. 3.3.3 Angiography
   4. 3.4 Imaging Differential Diagnosis
   5. 3.5 References
10. Section II Natural History, Clinical Decision-Making, and Treatment Overview
11. 4 Natural History of Colloid Cysts of the Third Ventricle
    1. 4.1 Introduction and Historical Perspective
    2. 4.2 The Colloid Cyst Risk Score
       1. 4.2.1 Incidental Patients
       2. 4.2.2 Symptomatic Patients
       3. 4.2.3 Risk Factors for Hydrocephalus
       4. 4.2.4 Acute Hydrocephalus and Death
       5. 4.2.5 Clinical Decision-Making and the CCRS
    3. 4.3 Conclusion
    4. 4.4 References
12. 5 Overview of Surgical Management for Colloid Cysts of the Third Ventricle
    1. 5.1 Introduction
    2. 5.2 Management of Obstructive Hydrocephalus and Cerebrospinal Fluid Dynamics
    3. 5.3 Stereotactic Drainage
    4. 5.4 Transcranial Open Microsurgical Approaches
    5. 5.5 Endoscopic Surgery
    6. 5.6 Comparative Analysis
    7. 5.7 Conclusion
    8. 5.8 References
13. 6 Consensus Panel Regarding the Diagnosis and Surgical Management of Colloid Cysts
    1. 6.1 Historical Perspective
       1. 6.1.1 General Points
    2. 6.2 Surveillance Imaging for Asymptomatic Patients
    3. 6.3 Indications for Surgery
    4. 6.4 Timing of Surgery
    5. 6.5 Approach Selection
       1. 6.5.1 Interhemispheric Transcallosal Approach
       2. 6.5.2 Transcortical Transventricular Approach
       3. 6.5.3 Single Burr Hole Endoscopic Approach
    6. 6.6 Surgical Adjuncts
       1. 6.6.1 Septostomy
       2. 6.6.2 Transchoroidal Approach
       3. 6.6.3 External Ventricular Drain Placement after Surgery
    7. 6.7 Extent of Resection and Cyst Wall Remnants
    8. 6.8 Follow-Up and Outcome Measures
    9. 6.9 Cases Reviewed
       1. 6.9.1 Case 1 ( ? Fig. 6.1)
       2. 6.9.2 Case 2 ( ? Fig. 6.2)
       3. 6.9.3 Case 3 ( ? Fig. 6.3)
       4. 6.9.4 Case 4 ( ? Fig. 6.4)
       5. 6.9.5 Case 5 ( ? Fig. 6.5)
       6. 6.9.6 Case 6 ( ? Fig. 6.6)
       7. 6.9.7 Case 7 ( ? Fig. 6.7)
       8. 6.9.8 Case 8 ( ? Fig. 6.8)
       9. 6.9.9 Case 9 ( ? Fig. 6.9)
       10. 6.9.10 Case 10 ( ? Fig. 6.10)
       11. 6.9.11 Case 11 ( ? Fig. 6.11)
    10. 6.10 References
14. Section III Open Microsurgical Management of Colloid Cysts
15. 7 The Microsurgical Resection of Colloid Cysts of Third Ventricle: Transcallosal Approach
    1. 7.1 Introduction
    2. 7.2 Epidemiology and Clinical Features
    3. 7.3 Clinical Evaluation and Radiological Diagnosis
    4. 7.4 Surgical Planning and Approach Strategies
    5. 7.5 Indications for Surgery
    6. 7.6 Surgical Anatomy of Third Ventricle and Technique of Transcallosal Approach
    7. 7.7 Advantages, Limitations, and Complications of the Anterior Transcallosal Approach
    8. 7.8 Illustrated Clinical Case of CCTV—How I Do It?
    9. 7.9 Nuances in Clinical Decision-Making and Approach toward Management
    10. 7.10 Surgical Plan and Preparation
    11. 7.11 Step-by-Step Techniques in Anterior Transcallosal Approach and Excision of CCTV ( ? Fig. 7.4)
    12. 7.12 Postoperative Course and Follow-Up
    13. 7.13 Future Trends
    14. 7.14 Conclusion
    15. 7.15 Acknowledgments
    16. 7.16 References
16. 8 The Transcortical Approach
    1. 8.1 Introduction
    2. 8.2 Surgical Technique
       1. 8.2.1 Access to the Lateral Ventricle
       2. 8.2.2 Transventricular Access to the Lesion via the Foramen of Monro
       3. 8.2.3 Lesion Resection
       4. 8.2.4 Closure and Postoperative Care
    3. 8.3 Rationale and Advantages
    4. 8.4 Conclusion
    5. 8.5 References
17. 9 Transcortical Transventricular Approach for Colloid Cysts and Salvage Approaches by Converting to Open Resection
    1. 9.1 Introduction
    2. 9.2 Anatomy
    3. 9.3 Surgical Techniques
    4. 9.4 Review of the Literature for Colloid Cyst Resection: Comparison of Endoscopic, Transcallosal, and Transcortical/Transventricular Approaches
    5. 9.5 Conversion from Endoscopic to Open Resection
    6. 9.6 Conclusion
    7. 9.7 References
18. Section IV Endoscopic Management of Colloid Cysts
19. 10 The Endoscopic Resection of Colloid Cysts
    1. 10.1 The Evolution of Neuroendoscopy in Colloid Cyst Removal
    2. 10.2 Anterolateral Entry Point
    3. 10.3 Cyst Evacuation
    4. 10.4 Bimanual Sharp Dissection
    5. 10.5 Use of the Endoscopic Sheath
    6. 10.6 Gross Total Resection
    7. 10.7 Small Chamber Irrigation Technique and Dry Field Technique for Hemostasis
    8. 10.8 Technique of Colloid Cyst Resection
    9. 10.9 Selection of the Best Approach Tailored to Each Individual Patient
    10. 10.10 Case Presentation: “How I Do It”
        1. 10.10.1 Clinical Presentation, Nuances of Clinical Decision-Making, and Endoscopic Management
        2. 10.10.2 Surgical Procedure
        3. 10.10.3 Postoperative Course
    11. 10.11 References
20. 11 Pure Endoscopic Resection of Colloid Cysts
    1. 11.1 Introduction
    2. 11.2 Advantages and Disadvantages of Endoscopic Approach
    3. 11.3 30-Degree Working Channel Neuroendoscope
    4. 11.4 The Anterolateral Approach to Endoscopic Resection
       1. 11.4.1 Instrument Preparation
       2. 11.4.2 Patient Positioning and Neuronavigation
       3. 11.4.3 Incision, Burr Hole, and Ventricular Entry
       4. 11.4.4 Colloid Cyst Capsule Cautery and Excision
       5. 11.4.5 Restoration of CSF Dynamics
    5. 11.5 Clinical Outcomes
    6. 11.6 Illustrative Example: Endoscopic Approach for Resection of a Recurrent Colloid Cyst in the Foramen of Monro
       1. 11.6.1 History of Present Illness, Physical Examination, and Imaging
       2. 11.6.2 Clinical Decision-Making
       3. 11.6.3 Operative Setup and Preparation
       4. 11.6.4 Burr Hole Placement and Ventricular Entry
       5. 11.6.5 Choroid Plexus and Cyst Cauterization
       6. 11.6.6 Cyst Removal
       7. 11.6.7 Closure and Follow-Up
    7. 11.7 References
21. 12 Endoscopic Resection of Colloid Cysts of the Third Ventricle: 20 Years at Washington University
    1. 12.1 Introduction
    2. 12.2 Endoscopic Technique
    3. 12.3 Clinical Outcomes
    4. 12.4 Complications
    5. 12.5 Cyst Wall Remnants and Recurrence
    6. 12.6 Total Inpatient Cost
    7. 12.7 Discussion and Current Strategy
    8. 12.8 References
22. Section V Atlas of Illustrated Clinical Cases
23. 13 Case Vignette: The Interhemispheric Transcallosal Approach for Resection of Colloid Cysts
    1. 13.1 Clinical Course
    2. 13.2 Surgical Technique ( ? Video 13.1)
24. 14 Principles of Surgical Management: Transcortical Approaches
    1. 14.1 History and Physical Examination
    2. 14.2 Imaging
    3. 14.3 Operative Procedure
    4. 14.4 Postoperative Course
25. 15 Colloid Cysts of the Third Ventricle: The Tubular Retractor Approach
    1. 15.1 Introduction
    2. 15.2 Illustrative Case
    3. 15.3 Operative Technique
    4. 15.4 Conclusion
    5. 15.5 References
26. 16 Endoscopic Resection of Colloid Cyst of the Third Ventricle Using a Suction-Morcellation Device
    1. 16.1 Introduction
    2. 16.2 Case Description and Surgical Decision-Making
    3. 16.3 Surgical Technique
    4. 16.4 Surgical...