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Child's Nervous System

, Volume 8, Issue 5, pp 281–286 | Cite as

Arachnoid cysts in children: a European co-operative study

  • Rainer W. Oberbauer
  • Jens Haase
  • Robert Pucher
Original Papers

Abstract

The data on arachnoid cysts in children (0–15 years) operated upon between 1980 and 1988 were analysed in a retrospective, co-operative study. The results from 285 patients indicate a predominance of these lesions in boys (64%) more than girls (36%) and a mean age of 6 years at onset of symptoms. Focal EEG patterns corresponding to the cyst's location were encountered in 32%. About 40% of all cysts were located along the midline, the sylvian fissure representing the predominant location. Open surgery, i.e. total excision or marsurpialization (together 43.3%), emerged as the first-choice surgical procedure. The type of surgery switched somewhat to shunting procedures in cases of lesions in deeper locations (22.8%). Morphological results on follow-up revealed a reduction of the size of the cyst in a significant majority (61%); in 18% the cyst had disappeared completely on CT scans. There was an obvious correlation between postoperative morphological findings and clinical outcome.

Key words

Arachnoid cysts Co-operative study Paediatric age Clinical-morphological correlation 

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Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • Rainer W. Oberbauer
    • 1
  • Jens Haase
    • 2
  • Robert Pucher
    • 1
  1. 1.Universitätsklinik für NeurochirurgieGrazAustria
  2. 2.Department of NeurosurgeryAalborgDenmark

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