دورية أكاديمية
Bedside Iohexol Ventriculography for Patients with Obstructive Colloid Cysts: A Protocol to Identify Auto-Fenestration of the Septum Pellucidum.
| العنوان: | Bedside Iohexol Ventriculography for Patients with Obstructive Colloid Cysts: A Protocol to Identify Auto-Fenestration of the Septum Pellucidum. |
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| المؤلفون: | Zhou JJ; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA., Mooney MA; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA., Farber SH; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA., Bohl MA; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA., Little AS; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA., Nakaji P; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA. Electronic address: Neuropub@barrowneuro.org. |
| المصدر: | World neurosurgery [World Neurosurg] 2019 Feb; Vol. 122, pp. e279-e284. Date of Electronic Publication: 2018 Oct 12. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York : Elsevier |
| مواضيع طبية MeSH: | Cerebral Ventriculography* , Point-of-Care Systems*, Colloid Cysts/*complications , Colloid Cysts/*diagnostic imaging , Hydrocephalus/*diagnostic imaging , Hydrocephalus/*etiology, Adolescent ; Adult ; Aged ; Colloid Cysts/surgery ; Contrast Media ; Female ; Humans ; Hydrocephalus/surgery ; Iohexol ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Young Adult |
| مستخلص: | Objective: Patients with hydrocephalus secondary to third ventricular colloid cysts can require bilateral external ventricular drain (EVD) placement while awaiting surgery. However, some patients could develop auto-fenestration of the septum pellucidum (AFSP) and only require 1 EVD. We evaluated our experience with bedside iohexol ventriculography and staged EVD placement for patients with obstructive hydrocephalus. Methods: We retrospectively identified 34 patients who had been treated for third ventricular colloid cysts (2013-2016). The preoperative and postoperative data, including age, sex, colloid cyst size, preoperative hydrocephalus, preoperative EVD placement, preoperative iohexol ventriculography, operative approach, intraoperative findings, and postoperative ventriculoperitoneal shunt requirements, were reviewed. Results: Hydrocephalus was found in 23 patients (68%) on initial presentation. Nine patients (26%) had EVDs placed before surgery. Six patients (18%) underwent iohexol ventriculography after insertion of a right-sided EVD. Five patients (15%) demonstrated no evidence of ventricular communication. Four patients (67%) required left-sided EVD placement. One patient (17%) had robust communication between the lateral ventricles after intraventricular iohexol injection, which was managed with a single EVD. AFSP was observed during surgical resection of this patient's colloid cyst. One other patient who did not undergo preoperative EVD placement was noted to have AFSP intraoperatively, resulting in 2 of 34 patients (6%) with AFSP in our series. Conclusions: A subset of patients with obstruction at the foramina of Monro can develop AFSP. Iohexol ventriculography after unilateral EVD placement allows clinicians to assess for the presence of AFSP and identify patients who can be treated with a single EVD before surgery. (Copyright © 2018 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Auto-fenestration; Colloid cyst; External ventricular drain; Hydrocephalus; Intraventricular; Iohexol; Septum pellucidum; Ventriculography |
| المشرفين على المادة: | 0 (Contrast Media) 4419T9MX03 (Iohexol) |
| SCR Disease Name: | Colloid cysts of third ventricle |
| تواريخ الأحداث: | Date Created: 20181016 Date Completed: 20190307 Latest Revision: 20190307 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.wneu.2018.10.020 |
| PMID: | 30321679 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1878-8769 |
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| DOI: | 10.1016/j.wneu.2018.10.020 |