Document Detail


Use of an endoscope in minimally invasive lesion biopsy and removal within the skull and cranial vault in two dogs and one cat.
MedLine Citation:
PMID:  19527133     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CASE DESCRIPTION- 2 dogs and 1 cat underwent endoscopic-assisted intracranial procedures for lesion biopsy (1 dog and 1 cat) and definitive lesion removal (1 dog). CLINICAL FINDINGS- 1 cat was treated for an interhemispheric, pedunculated meningioma with an associated arachnoid cyst. Two dogs underwent endoscopic surgery procedures; 1 dog underwent removal of an intranasal dermoid cyst with extension to the olfactory bulb dura, and the other underwent lesion biopsy for histologic confirmation of suspected intracranial granular cell tumor. TREATMENT AND OUTCOME- Minimally invasive intracranial procedures were achieved by use of an endoscope to aid in lesion biopsy in a dog and a cat with neoplasia and complete lesion removal in 1 dog with a dermoid cyst. No obvious morbidity from the use of the endoscope was observed. Rapid recovery from surgery was seen in all 3 animals, and hospitalization times were a few days. CLINICAL RELEVANCE- In human and veterinary neurosurgery, minimally invasive surgical approaches for diagnosis and treatment are gaining in popularity. Minimally invasive techniques are used to achieve a decrease in surgical time, minimize brain exposure, and decrease postoperative recovery times. Keyhole and minimally invasive approaches require some degree of dexterity and knowledge of where the endoscope is in a 3-dimensional orientation and its relationship to the topography of an anatomic region. Anticipation of complications should allow for potential conversion to an open craniotomy. Use of the endoscope in minimally invasive procedures is associated with a steep learning curve to understand orientation, topography, and normal versus abnormal anatomy.
Authors:
Lisa S Klopp; Marcella Ridgway
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Veterinary Medical Association     Volume:  234     ISSN:  0003-1488     ISO Abbreviation:  J. Am. Vet. Med. Assoc.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-16     Completed Date:  2009-07-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503067     Medline TA:  J Am Vet Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1573-7     Citation Subset:  IM    
Affiliation:
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80525, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Biopsy / instrumentation,  methods,  veterinary*
Brain Diseases / pathology,  surgery,  veterinary*
Brain Neoplasms / pathology,  surgery,  veterinary
Cat Diseases / pathology,  surgery*
Cats
Clinical Competence
Dermoid Cyst / pathology,  surgery,  veterinary
Dog Diseases / pathology,  surgery*
Dogs
Female
Health Knowledge, Attitudes, Practice
Hospitals, Animal
Humans
Length of Stay
Male
Neuroendoscopes / veterinary
Neuroendoscopy / methods,  standards,  veterinary*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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