Acta Neurochirurgica

, Volume 161, Issue 8, pp 1709–1713 | Cite as

Supraorbital keyhole approach for suprasellar arachnoid cyst: how I do it

  • A. VenierEmail author
  • M. Reinert
  • T. Robert
How I Do it - Pituitaries
Part of the following topical collections:
  1. Pituitaries



Keyhole approaches have lately sparked strong interest because these approaches address skull base pathologies as reported by Eroglu et al. (World Neurosurg, 2019); Hickmann, Gaida, and Reisch (Acta Neurochir (Wien) 159:881–887, 2017); Jallo and Bognar (Neurosurgery, 2006); and Poblete et al. (J Neurosurg 122:1274–1282, 2015), minimizing brain retraction and improving cosmetic results. We describe the step-by-step surgical technique to drain a suprasellar arachnoid cyst by a supraorbital approach.


The eyebrow incision is a direct route to expose the supraorbital corridor and even if it is smaller than a pterional approach, it permits to open the cisterns and to visualize neurovascular structures. The arachnoid cyst could be safely drained and a T-tube is placed.


This technique represents a suitable option for suprasellar arachnoid cyst, avoiding more extended and invasive approaches.


Supraorbital approach Eyebrow incision Minimally invasive technique Suprasellar cyst 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Informed consent

Informed consent was obtained from the individual participant included in the study.

Supplementary material

Video 1

Suprasellar arachnoid cyst opening by supraorbital keyhole approach through eyebrow skin incision. (MP4 252139 kb)


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, Neurocenter of the Southern Switzerland, Regional Hospital of LuganoOspedale Civico di LuganoLuganoSwitzerland

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