Wiener klinische Wochenschrift

, Volume 118, Supplement 2, pp 85–88

Different approaches to surgical treatment of arachnoid cysts

Case Report

DOI: 10.1007/s00508-006-0540-2

Cite this article as:
Strojnik, T. Wien Klin Wochenschr (2006) 118(Suppl 2): 85. doi:10.1007/s00508-006-0540-2


Although most arachnoid cysts remain static fluid-filled compartments throughout life, some become enlarged, exerting a mass effect on adjacent neural structures. The decision-making process for patients with arachnoid cysts still represents a challenge for the neurosurgeon. We report three cases of intracranial arachnoid cysts treated with different surgical approaches: (i) endoscopic fenestration of the cyst into the lateral ventricle; (ii) a cystoperitoneal shunt; (iii) a cystoperitoneal shunt and establishment of communication between the cyst and the fourth ventricle with the help of an endoscope. Given the advances in instrumentation over the past decade, it is probable that most arachnoid cysts will be managed endoscopically in the future.


Arachnoid cyst Cystoperitoneal shunt Endoscopic fenestration Optimal clinical management 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Department of NeurosurgeryMaribor Teaching HospitalMariborSlovenia

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