关键词: Classification Colloid cyst Foramen of Monro Interforniceal Retroforaminal Third ventricle Transcallosal

Mesh : Humans Colloid Cysts / surgery diagnostic imaging Female Male Adult Middle Aged Magnetic Resonance Imaging Young Adult Adolescent Neurosurgical Procedures / methods Aged Third Ventricle / surgery diagnostic imaging Tomography, X-Ray Computed Child

来  源:   DOI:10.1016/j.wneu.2024.03.170

Abstract:
BACKGROUND: This research discusses colloid cyst surgical concerns, with an emphasis on the value of a novel surgical classification based on anatomical sites. In the study, 59 patients who underwent surgical intervention between 2009 and 2022 and were diagnosed with colloid cysts via computed tomography scan and magnetic resonance imaging participated.
METHODS: There were more male cases than female ones (57.6%). The majority of patients presented with headache (79%), followed by abnormal gait (12%), visual blurring (5%), and seizures (4%).
RESULTS: In this study, we present a new surgical classification based on anatomical locations, distinguishing 4 types: open Monro type (50.84%), closed Monro type (23.72%), retroforaminal type (13.55%), and interforniceal type (11.86%).
CONCLUSIONS: In summary, the surgical classification that has been suggested provides significant insights into the varied anatomical sites where colloid cysts might be found. Microneurosurgeons significantly need to be oriented about the possible sites of colloid cysts through this classification to achieve complete and curative resection and reduce the likelihood of recurrence.
摘要:
这项研究讨论了胶体囊肿的手术问题,强调基于解剖部位的新型手术分类的价值。在研究中,59例患者在2009年至2022年期间接受了手术干预,并通过CT扫描和MRI诊断为胶体囊肿。男性病例多于女性(57.6%)。大多数患者出现头痛(79%),其次是异常步态(12%),视力模糊(5%)和癫痫发作(4%)。在这项研究中,我们提出了一种基于解剖位置的新手术分类,区分四种类型:开放式门罗型(50.84%),封闭式Monro型(23.72%),后孔型(13.55%),和突间型(11.86%)。总之,已经提出的手术分类为可能发现胶体囊肿的各种解剖部位提供了重要的见解。通过这种分类,显微外科医生需要明确胶体囊肿的可能部位,以实现完全和治愈性的切除并减少复发的可能性。
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