Asunto(s)
Neoplasias Cerebelosas/secundario , Glioblastoma/patología , Neoplasias de la Médula Espinal/patología , Adulto , Antígenos CD20/metabolismo , Neoplasias Cerebelosas/diagnóstico por imagen , Bases de Datos Bibliográficas/estadística & datos numéricos , Proteína Ácida Fibrilar de la Glía/metabolismo , Glioblastoma/diagnóstico por imagen , Glioblastoma/genética , Glioblastoma/fisiopatología , Humanos , Isocitrato Deshidrogenasa/metabolismo , Imagen por Resonancia Magnética , Masculino , Mutación/genética , Neoplasias de la Médula Espinal/diagnóstico por imagen , Neoplasias de la Médula Espinal/genética , Neoplasias de la Médula Espinal/fisiopatología , Proteína Nuclear Ligada al Cromosoma X/genéticaAsunto(s)
Neoplasias Óseas/complicaciones , Osteocondroma/complicaciones , Compresión de la Médula Espinal/etiología , Compresión de la Médula Espinal/cirugía , Neoplasias de la Columna Vertebral/complicaciones , Articulación Cigapofisaria/patología , Niño , Humanos , Imagen por Resonancia Magnética , Masculino , Vértebras Torácicas/diagnóstico por imagen , Tomógrafos Computarizados por Rayos X , Articulación Cigapofisaria/diagnóstico por imagenRESUMEN
BACKGROUND: Intraoperative cerebrospinal fluid (CSF) leaks are a frequent cause of morbidity in patients undergoing transsphenoidal surgery. This prospective study was performed to examine the impact of intraoperative lumbar subarachnoid drainage (LSAD) on the incidence of this complication and on the extent of resection in patients undergoing endoscopic transsphenoidal surgery for pituitary adenomas. MATERIALS AND METHODS: This prospective study was conducted in a single large academic medical center. All patients with pituitary adenomas who had not undergone prior transsphenoidal surgery were eligible for inclusion in the study. Patients were randomly assigned to undergo transsphenoidal surgery with intraoperative lumbar drain insertion (LSAD group) or no lumbar drain insertion (no LSAD group). An otolaryngologist independently determined the occurrence of an intraoperative CSF leak. Extent of tumor resection was determined by volumetric analysis of postoperative magnetic resonance images in patients with nonfunctional tumors or functional adenomas with a large suprasellar component. RESULTS: Sixty patients were eligible for inclusion, of which 30 were assigned to the LSAD group and 30 to the no LSAD group. There were no statistically significant differences in patient demographics, tumor pathology, or radiology between the two groups. The LSAD catheter was successfully inserted in all patients in the LSAD group. Intraoperative CSF drainage significantly reduced the incidence of CSF leak from 46.7% in the no LSAD group to 3.3% in the LSAD group (P < 0.001). However, there were no statistically significant differences in the incidence of postoperative CSF rhinorrhea between the two groups. There were no major catheter-related complications. There was no statistically significant difference in the extent of resection between the two groups. CONCLUSIONS: Controlled intraoperative CSF drainage significantly reduces the incidence of intraoperative CSF leakage in patients undergoing endoscopic transsphenoidal surgery for pituitary adenomas.
Asunto(s)
Adenoma/cirugía , Pérdida de Líquido Cefalorraquídeo/prevención & control , Drenaje/métodos , Neuroendoscopía/efectos adversos , Neuroendoscopía/métodos , Neoplasias Hipofisarias/cirugía , Adulto , Pérdida de Líquido Cefalorraquídeo/etiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/prevención & controlRESUMEN
Colloid cysts are the most common benign neoplasms of the anterior third ventricle, mostly located at the level of the foramen of Monro and can often manifest as sudden onset headache or loss of consciousness. These cysts often have a well-defined cyst wall, mucinous or watery intracystic fluid and have a fairly good plane with the surrounding parenchyma. Occasionally, intracystic haemorrhage can lead to xanthogranulomatous inflammatory changes within the cyst resulting in focal thickening of the cyst wall and adhesion to the surrounding structures. Here we describe a case of xanthogranulomatous colloid cyst which is a very rare variant of colloid cyst.