Publication details
Arachnoid cysts
| Authors | |
|---|---|
| Year of publication | 2013 |
| Type | Monograph |
| MU Faculty or unit | |
| Citation | |
| Description | The unstoppable progress in all branches of science has become evident also in the field of neurosurgery. The coming of stereotaxy and imaging techniques forming together a new diagnostic – treatment complex, has changed the content of the original classic neurosurgery characterized by courageous and even heroic surgeries into minimally invasive neurosurgery. Surely the development has been aided by the progress in neurosurgical instrumentation and supporting medical devices, especially in the treatment of neurooncological and cerebrovascular diseases. But there are new tendencies towards operating in deep and eloquent brain structures and especially in the cerebrospinal fluid space. The idea to treat non communicating hydrocephalus and cerebral arachnoid cysts by means of direct communication with the cerebrospinal fluid pathways to became again the natural part of cerebrospinal fluid space was finally asserted. The diagnostic workup in pathological processes interfering with cerebrospinal fluid movements inside brain ventricles and subarachnoid space became safely established after the introduction of CT and MRI. The site of obstacle or disorder was reliably identified and optimum trajectory reaching these lesions were calculated with the help of ingenious stereotactic software. It was not earlier before neuroendoscope became a new surgical device navigated to the site of the lesion able to inspect the lesion directly with organic substrate identification, to understand its effect and make adequate decision regarding the optimum surgical procedure. Therefore a new minimally invasive discipline was established in neurosurgery – neuroendoscopy. The process of diagnostic workup in cerebrospinal fluid disorders with associated symptoms has been almost solved. The characteristic message is surgical technique determining the treatment results and forming theoretical foundation of the branch. This is the reason for paying attention to neuroendoscopic surgeries of arachnoidal cysts in different location of treated lesions in the submitted monography. |