Advertisement

Acta Neurochirurgica

, Volume 119, Issue 1–4, pp 68–73 | Cite as

Endoscopic treatment of suprasellar arachnoid cysts

  • J. Caemaert
  • J. Abdullah
  • L. Calliauw
  • D. Carton
  • C. Dhooge
  • R. van Coster
Clinical Articles

Summary

Four cases of large suprasellar arachnoid cysts in children are described. The authors propose a large fenestration into the lateral ventricles and into the basal cisterns as the treatment of choice. A specific multipurpose cerebral endoscope has been designed by the first author. The endoscopic technique with different instruments and with the use of a laser is illustrated. Results and complications are discussed.

Keywords

Suprasellar cysts cerebral endoscopy Nd-Yag laser hydrocephalus 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Albright L (1981) Treatment of Bobble-Head Doll syndrome by transcallosal cystectomy. Neurosurgery 8: 593–595Google Scholar
  2. 2.
    Banna M (1974) Arachnoid cysts in the hypophyseal area. Clin Radiol 25: 323–326Google Scholar
  3. 3.
    Benton JW, Nellhaus G, Huttenlocher PR,et al (1966) The bobble-head doll syndrome. Report of a unique truncal tremor associated with third ventricular cyst and hydrocephalus in children. Neurology 16: 725–729Google Scholar
  4. 4.
    Binitie O, Williams B, Case CP (1984) A suprasellar subarachnoid pouch: aetiological considerations. J Neurol Neurosurg Psychiatry 47: 1066–1074Google Scholar
  5. 5.
    Caemaert J, Abdullah J, Calliauw L (1992) Reflections on techniques and instrumentation in endoscopic neurosurgery. Reporting MIN II Marburg. Acta Neurochir (Wien) [Suppl] (submitted)Google Scholar
  6. 6.
    Danziger J, Bloch S (1974) Suprasellar arachnoid pouches. Br J Radiol 47: 448–451Google Scholar
  7. 7.
    Ferry PC, Feldman V, Kerber C (1974) The bobble-head syndrome due to a basal arachnoid cyst. Neurology 24: 394Google Scholar
  8. 8.
    Gentry LR, Smoker WR, Turski PA,et al (1986) Suprasellar arachnoid cysts. CT recognition. AJNR 7: 79–86Google Scholar
  9. 9.
    Gonzalez CA, Villarejo FJ, Blazquez MG,et al (1982) Suprasellar arachnoid cysts in children. Report of three cases. Acta Neurochir (Wien) 60: 281–296Google Scholar
  10. 10.
    Harrison MJG (1971) Cerebral arachnoid cysts in children. J Neurol Neurosurg Psychiatry 34: 316–323Google Scholar
  11. 11.
    Hoffman HJ, Hendrick EB, Humphreys RP,et al (1982) Investigation and management of suprasellar arachnoid cysts. J Neurosurg 57: 597–602Google Scholar
  12. 12.
    Jensen JP, Pendl G, Goerke W (1978) Head bobbing in a patient with a cyst of the third ventricle. Childs Brain 4: 235–241Google Scholar
  13. 13.
    Kasdon DL, Douglas EA, Broughan MF (1977) Suprasellar arachnoid cyst diagnosed preoperatively by computerized tomographic scanning. Surg Neurol 7: 299–303Google Scholar
  14. 14.
    Krawchenko J, Collins GH (1979) Pathology of an arachnoid cyst. Case report. J Neurosurg 50: 224–228Google Scholar
  15. 15.
    Leo JS, Pinto RS, Hulvat GF,et al (1979) Computed tomography of arachnoid cysts. Radiology 130: 675–680Google Scholar
  16. 16.
    Murali R, Epstein F (1979) Diagnosis and treatment of suprasellar arachnoid cyst. Report of three cases. J Neurosurg 50: 515–518Google Scholar
  17. 17.
    Obenchain TG, Becker DP (1972) Head bobbing associated with a cyst of the third ventricle. Case report. J Neurosurg 37: 457–459Google Scholar
  18. 18.
    Pierre-Kahn A,et al (1990) Presentation and. management of suprasellar arachnoid cyst. Review of 20 cases. J Neurosurg 73: 355–359Google Scholar
  19. 19.
    Powers SK (1992) Fenestration of intraventricular cysts using a flexible, steerable endoscope. Acta Neurochir (Wien) [Suppl] 54: 42–46Google Scholar
  20. 20.
    Raimondi AJ, Shimoji T, Gutierrez FA (1980) Suprasellar cysts: surgical treatment and results. Childs Brain 7: 57–72Google Scholar
  21. 21.
    Ring BA, Waddington M (1966) Primary arachnoid cysts of the sella turcica. AJR 98: 611–615Google Scholar
  22. 22.
    Russo RH, Kindt GW (1974) A neuroanatomical basis for the Bobble-head doll syndrome. J Neurol 41: 720–723Google Scholar
  23. 23.
    Starkman SP, Brown TC, Linell LA (1958) Cerebral arachnoid cysts. J Neuropathol Exp Neurol 17: 484–500Google Scholar
  24. 24.
    Williams B, Guthkelch AN (1974) Why do central arachnoid pouches expand? J Neurol Neurosurg Psychiatry 37: 1085–1092Google Scholar
  25. 25.
    Wirt TC, Hester RW (1977) Suprasellar arachnoid cyst. Surg Neurol 9: 322Google Scholar
  26. 26.
    Zamorano L, Chavantes C, Dujovny M, Malik G, Ausman J (1992) Stereotactic endoscopic interventions in cystic and intraventricular brain lesions. Acta Neurochir (Wien) [Suppl] 54: 69–76Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • J. Caemaert
    • 1
  • J. Abdullah
    • 1
  • L. Calliauw
    • 1
  • D. Carton
    • 2
  • C. Dhooge
    • 2
  • R. van Coster
    • 2
  1. 1.Department of NeurosurgeryUniversity HospitalGhentBelgium
  2. 2.Department of PediatryUniversity HospitalGhentBelgium

Personalised recommendations