Arachnoid cysts: clinical and surgical management
Gespeichert in:
| Weitere Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
London, United Kingdom
Elsevier, Academic Press
[2018]
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | xviii, 306 Seiten Illustrationen |
| ISBN: | 9780128143780 0128143789 |
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Datensatz im Suchindex
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| adam_text | Contents
List of Contributors xv
Preface xvii
_____________________________________I_____________________________
CLINICAL DIAGNOSTIC ASPECTS
1. Intracranial Arachnoid Cysts and Headache
KNUT WESTER
Abbreviation J 3
Recommendations—Level of Evidence 4
Prevalence of Headache in AC Patients 5
Characteristics of AC-Associated Headache 6
Effects of Surgical Decompression on Headache 6
References 7
2. Clinical Presentation, Symptoms, and Complaints:
Dizziness/Vertigo
CAMILLA TUNES, FREDERIK K. GOPLEN AND KNUT WESTER
Abbreviations 10
Recommendations—Level of Evidence 10
Introduction 10
Vestibular Symptoms and Findings in Patients With Arachnoid Cysts 12
Discussion 18
Conclusion 19
References 19
3. Intracranial Arachnoid Cysts and Epilepsy
KNUT WESTER
Abbreviations 23
Recommendations—Level of Evidence 24
Prevalence of Epilepsy in Patients With AC 24
Cyst Location and Epilepsy 24
Effects of Surgical Decompression on Epilepsy 25
References 27
vii
viii CONTENTS
4♦ Arachnoid Cyst and Visual Function
RAM K. MENON
Abbreviations 30
Recommendations—-Level of Evidence 30
Visual Impairment in AC Patients 30
Role of Visual Evoked Potential in ACs Compressing the
Visual Pathway 36
Cranial Nerves in Control of Eye Movements 37
References 41
Further Reading 42
5. Clinical Presentation, Symptoms and Complaints—
What Matters: Size, Location, Or Intracystic Pressure?
CHRISTIAN A. HELLAND AND KNUT WESTER
Abbreviations 46
Recommendations—Level of Evidence 46
Introduction 47
Are There Any Associations Between Preoperative Cyst Size and Subjective
Complaints? 48
Is There an Association Between Postoperative Radiological and Clinical
Improvement? 49
If There Is No Association Between Radiological and Clinical
Outcome for Temporal and Frontal Cyst, What Matters Then—
Intracystic Pressure? 50
Conclusion 52
References 52
6. Intracranial Arachnoid Cysts and Mental Functions
KNUT WESTER AND KENNETH HUGDAHL
Abbreviations 56
Recommendations—Level of Evidence 56
Introduction 57
Review of the Literature 59
Language 76
Language Impairment in Pediatric AC Patients 76
Language-Related Functions in Adult AC Patients 78
Discussion 80
Conclusions 84
References 84
CONTENTS
ix
_________________II_____________________________________
SURGICAL ASPECTS
7. Controversies in the Management of Intracranial
Arachnoid Cysts
GIAN PIERO TAMBURR1NI
Disclosure 94
Abbreviations 94
Recommendations—Level of Evidence 94
Introduction 94
Sylvian Fissure Arachnoid Cysts 95
Interhemispheric Arachnoid Cysts 100
Posterior Fossa Arachnoid Cysts 101
References 102
8. Clinical, Radiological, and Neuropsychological Evidence
in Favor of Surgical Decompression
KNUT WESTER
Abbreviations 106
Recommendations—Level of Evidence 106
What is an Acceptable Complication Rate for a Surgical Procedure? 108
What are Then the Exact Gains and Risks for Surgical Decompression
of an AC? 108
Surgical Procedures Used in the Included Studies 109
What are the Chances That the Patients Will Experience
Postoperative Improvement? 109
What is the Degree of This Improvement? 110
What is the Complication Rate? 113
What is the Severity of These Complications? 115
Conclusive Remarks 116
References 116
9. Surgical Techniques, Results, and Complications: Microsurgical
Techniques—Traditional Craniotomy
CHRISTIAN A. HELLAND
Abbreviations 120
Introduction 120
Standard Craniotomy for Fenestration of Temporal Fossa Cysts 121
Results 127
Summary 128
References 128
X
CONTENTS
10* Microsurgical Techniques—The Keyhole Approach
MARK CALAYAG, REID HOSHIDE AND MICHAEL LEVY
Abbreviations 132
Recommendations—Level of Evidence 132
Overview 132
The Keyhole Approaches 133
Discussion 136
Conclusion 138
References 138
11. Endoscopic Techniques in Arachnoid Cyst Surgery
JOACHIM OERTEL AND JANA REDIKER
Abbreviations 142
Recommendations—Level of Evidence 142
Introduction 143
Historical Aspects 143
Endoscopic Procedures for Intracranial Arachnoid Cysts 144
Surgical Techniques 144
General Aspects 145
Cystocistemostomy 146
Ventriculocystostomy 148
Cystoventriculostomy 152
Ventriculocystocistemostomy 153
Results 157
Radiological Benefit 157
Complications 159
References 161
12. Shunt Techniques—Cystoperitoneal Shunt
TAKAOKI KIMURA, KAZUAKI SHIMOJI, MASAKAZU MIYAJIMA AND HAJIME ARAI
Abbreviations 166
Introduction 166
Surgical Outcome for Different Cyst Locations 166
Selection of Surgical Method 168
Cystoperitoneal Shunting—Surgical Protocol 168
Complications of CP Shunting 168
Shunt Dependency Syndrome 169
Conclusions 170
References 170
13. Surgical Techniques, Results, and Complications: Shunt
Techniques—Cystosubdural Shunt, Cystoventricular Shunt/Stent
KNOT WESTER
Abbreviations
Recommendations—Level of Evidence
174
174
CONTENTS xi
The Internal, Cystosubdural Shunt 175
Other Intracranial Methods Aiming at Draining Arachnoid Cysts to an .
Intracranial Fluid Compartment (Except Fenestration to the
Basal Cistern) 181
References 182
14. Overdrainage Syndromes in Shunted Arachnoid Cysts
JUAN E MARTÍNEZ-LAGE, ANTONIO L. LÓPEZ-GUERRERO AND MARÍA-JOSÉ ALMAGRO
Abbreviations 186
Recommendations—Level of Evidence 186
Introduction: Arachnoid Cyst Overshunting at a Glance 186
Problem Identification: Concepts and Definitions 187
CSF Volume Depletion Syndromes 188
Overdrainage in Shunted Hydrocephalus 190
How Does Overdrainage Occur in Shunted Hydrocephalus? 190
Overdrainage Syndromes in Shunted Arachnoid Cysts 192
Posterior Fossa Overcrowding and Hindbrain Herniation in
Overshunted ACs 193
Pathogenesis of AC Overshunting 195
Management and Prevention of AC Overshunting 197
Prevention of AC Overshunting 202
Quantitation of Outcomes in Treatments for Overshunted AC 203
Conclusions 203
References 204
Further Reading 206
15. Arachnoid Cyst—Anesthesia and Postoperative Management
LUIS ROMUNDSTAD
Abbreviations 208
Recommendations—Level of Evidence 209
Introduction 210
Preoperative Evaluation 210
Peroperative Anesthetic Management 211
Intraoperative Neurophysiological Monitoring 213
Anesthesia 214
Fluid Therapy During Surgery 218
Postoperative Management and Care 218
Postoperative Fluid Therapy 219
Postoperative Analgesia 221
Postoperative Nausea and Vomiting 222
Postoperative Seizures 223
References 223
Further Reading 226
CONTENTS
16. Pre- and Postoperative Quality of Life in Arachnoid
Cyst Patients
SVEIN H. M0RKVE
Abbreviations 227
Recommendations-—Level of Evidence 228
Background 228
Methods for Measuring Quality of Life in Relation to Patient Health
and Medical Interventions 229
Quality of Life in Arachnoid Cyst Patients 230
Selection of Surgical Technique and Patients for Surgical Treatment 234
References 235
17. Pediatric Spinal Arachnoid Cysts
j. GORDON MCCOMB
Abbreviations 239
Introduction 240
Classification 240
Clinical Presentation 244
Diagnosis 244
Operative Technique 246
Complications 248
Outcome 251
References 251
18. Pediatric Cranial Arachnoid Cysts
J. GORDON MCCOMB
Abbreviations 254
Introduction ‘ 254
Classification 255
Symptoms 256
Diagnosis ,258
Subdural Hematoma/Hygroma and Intracystic Hematoma 261
Seizures 262
(Pseudo) Arachnoid Cysts 263
Prenatal Diagnosis of an Arachnoid Cyst 263
Prenatal Diagnosis of a Large Cistema Magna 263
Can Neurologic Function be Improved by Operatively Treating
Large Arachnoid Cysts? 264
Operative Technique 265
Complications 266
Outcomes 267
References 267
Further Reading 269
CONTENTS Xili
19. Spinal Arachnoid Cysts
APOORVA KUMAR
Abbreviations 272
Introduction 272
Presentation 272
Missed and Delayed Diagnosis is Common 272
Theories Regarding Origin 273
Imaging Studies 274
Histopathology 280
Treatment 280
Some Cases are More Complex 282
References 282
20. Arachnoid Cysts and Risk of Sport-Related Brain Injury
SCOTT L. ZUCKERMAN, AARON M. YENGO-KAHN, ANDREW W. KUHN
AND CHRISTOPHER M. BONFIELD
Conflicts of Interest/Financial Disclosures 286
Abbreviations 286
Recommendations—Level of Evidence 286
Introduction 287
Question #1: Do Athletes With an AC Have a Higher Rate of Concussion
or Structural Brain Injury? 287
Question #2: Is It Safe for Athletes With an AC to Participate in Athletics? 289
Question #3: If a Structural Brain Injury Does Occur in an
Athlete With an AC, What is the Clinical Course? 290
Conclusions 294
References 294
Index
297
Arachnoid Cysts
Clinical and Surgical Management
Edited by Knut Wester
Intracranial arachnoid cysts are congenital malformations with a predilection for the
middle cranial fossa and an estimated prevalence in the general population as high
as 1.7%. The common assumption is that these cysts are incidental findings and the
. symptoms associated with them are not caused by the cyst and consequently, that
surgical intervention will not benefit the patient. However, there is now a growing
understanding reflected in the international literature among neurologists and
neurosurgeons that arachnoid cysts do harm and that the patients’ complaints can be
relieved by surgical treatment.
Arachnoid Cysts: Clinical and Surgical Management gives a broad and updated
presentation of the condition, including symptomatology, diagnostics, management,
r
and treatment. The book also covers the effects of surgical treatment on clinical
symptoms and the effects the cysts have on cognition, as well as cognitive improvement
after surgical cyst decompression. This book is written for researchers, residents, and
clinical practitioners in clinical neuroscience, neurology, neurosurgery, neuroradiology,
and pediatrics.
Key Features
• Covers the symptomology and treatment of arachnoid cysts
• Describes impaired cognition associated with arachnoid cysts
• Identifies advantages, disadvantages, and results of different surgical approaches
• Provides information of use to researchers, residents, and clinical practitioners in
clinical neuroscience, neurology, neurosurgery, neuroradiology, and pediatrics
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| title | Arachnoid cysts clinical and surgical management |
| title_auth | Arachnoid cysts clinical and surgical management |
| title_exact_search | Arachnoid cysts clinical and surgical management |
| title_full | Arachnoid cysts clinical and surgical management edited by Knut Wester, University of Bergen, Bergen, Norway; Haukeland University Hospital, Bergen, Norway |
| title_fullStr | Arachnoid cysts clinical and surgical management edited by Knut Wester, University of Bergen, Bergen, Norway; Haukeland University Hospital, Bergen, Norway |
| title_full_unstemmed | Arachnoid cysts clinical and surgical management edited by Knut Wester, University of Bergen, Bergen, Norway; Haukeland University Hospital, Bergen, Norway |
| title_short | Arachnoid cysts |
| title_sort | arachnoid cysts clinical and surgical management |
| title_sub | clinical and surgical management |
| topic | Hirnhaut (DE-588)4322352-7 gnd Diagnose (DE-588)4012040-5 gnd Epidemiologie (DE-588)4015016-1 gnd Neuroradiologie (DE-588)4041899-6 gnd Therapie (DE-588)4059798-2 gnd Zyste (DE-588)4191397-8 gnd |
| topic_facet | Hirnhaut Diagnose Epidemiologie Neuroradiologie Therapie Zyste Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=030190051&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=030190051&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT westerknut arachnoidcystsclinicalandsurgicalmanagement |