From January, 1979, to July, 1986, 10 patients (6 females, 4 males; 12-59 years, mean 37) with colloid cysts of the third ventricle were treated by stereotactic aspiration (Talairach's method). Five cysts have been completely aspirated. The mean residual volume of the other 5 was 19% of the initial volume. Clinical symptoms completely cleared in all but one patient. The advantages of the procedure are discussed.
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http://dx.doi.org/10.1159/000100801 | DOI Listing |
Objective: This study aims to assess whether preoperative hematoma reconstruction and precise volume calculation can improve hematoma evacuation rate in patients with spontaneous intracerebral hemorrhage(sICH) undergoing stereotactic aspiration(SA).
Methods: A retrospective analysis was conducted on patients with sICH who underwent SA from January 2021 to December 2023. Patients were divided into two groups based on the use of 3D Slicer for preoperative hematoma reconstruction and volume calculation.
J Neurosurg Case Lessons
November 2024
Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota.
Background: The management of cystic brain metastases remains challenging, with high recurrence rates following treatment with resection and/or stereotactic radiosurgery (SRS). Tumor resection and adjuvant radiation provide superior outcomes in comparison to those for each therapy alone, but large cystic tumor en bloc removal is difficult. Cyst aspiration can be used to decrease the radiation target volume, enabling safer delivery of a therapeutic radiation dose with improved local tumor control.
View Article and Find Full Text PDFCureus
October 2024
Department of Surgery, Baghdad Teaching Hospital, Medical City Complex, Baghdad, IRQ.
Thalamic abscesses are rare, life-threatening conditions and represent only a few percent of the total cases of brain abscesses. Due to their deep location and critical involvement of sensory and motor pathways, they remain one of the most challenging entities to diagnose and manage. Despite advances in neuro-imaging and neurosurgical techniques, thalamic abscess continues to be a challenge or question in clinical practice regarding optimum treatment modality.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
October 2024
Department of Neurosurgery, NYU Grossman School of Medicine, New York.
Background: Resection of glioblastoma (GBM) in eloquent regions depends on functional mapping to limit perioperative neurological morbidity. When neurological deficits preclude reliable mapping, neurosurgeons should explore potential mitigation strategies. The authors present the case of a patient with a large left cystic temporoinsular GBM and aphasia, for whom the authors used intraoperative language mapping and a staged approach to enable safe tumor resection.
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