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Acta Neurochirurgica

, Volume 159, Issue 12, pp 2313–2317 | Cite as

Endoscopic treatment of middle fossa arachnoid cysts

  • Waleed A. AzabEmail author
  • Mohamed Almanabri
  • Waleed Yosef
How I Do it - Neurosurgical Techniques

Abstract

Background

Endoscopic treatment of middle fossa arachnoid cysts is an alternative option to microsurgical fenestration and shunting procedures. The procedure is minimally invasive and obviates the morbidity of craniotomy and shunting.

Methods

Operative charts and videos of patients undergoing endoscopic fenestration of middle fossa arachnoid cysts were retrieved from the senior author’s database of endoscopic procedures and reviewed. Description of the surgical techniques was then formulated.

Conclusions

Endoscopic fenestration of middle fossa arachnoid cysts entails communicating the cyst cavity to the basal cisterns via multiple fenestrations that should be made as large as possible with care to avoid injury of the juxtaposed neurovascular structures.

Keywords

Arachnoid Cyst Endoscopic Fenestration Middle fossa Sylvian Temporal 

Abbreviation

ACA

Anterior cerebral artery

AchA

Anterior choroidal artery

BA

Basilar artery

MCA

Middle cerebral artery

ICA

Internal carotid artery

MRI

Magnetic resonance imaging

PCA

Posterior cerebral artery

PcoA

Posterior communicating artery

SCA

Superior cerebellar artery

Notes

Compliance with ethical standards

Patient consent

The patient has consented to submission of this “How I do it” to the journal.

Supplementary material

ESM 1

(WMV 175740 kb)

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Copyright information

© Springer-Verlag GmbH Austria 2017

Authors and Affiliations

  • Waleed A. Azab
    • 1
    Email author
  • Mohamed Almanabri
    • 1
  • Waleed Yosef
    • 1
  1. 1.Department of NeurosurgeryIbn Sina HospitalSafatKuwait

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