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Endoscopic treatment of convexity arachnoid cysts

  • Case Report
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Abstract

Objective

The aim of this study was to investigate the endoscopic treatment of cerebral hemisphere convexity arachnoid cyst.

Methods

Eight cases of hemisphere convexity arachnoid cyst treated with cyst–ventricular or cisternal endoscopic approach in September 2007 to March 2011 were retrospectively recruited. The clinical symptoms, radiological findings, surgical indications, surgical approach, complications, and follow-up studies were analyzed.

Results

All patients showed convexity arachnoid cysts adjacent to the ventricles or cisternal. After treatment, all patients showed decrease in size of the cysts (100 %), with preoperative symptoms disappeared in six patients and improved in two cases. In one case, postoperative subdural effusion was found without symptoms reported.

Conclusion

Endoscopic surgery is ideal for treatment of arachnoid cysts adjacent to the ventricles or cisternal.

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References

  1. Chernov MF, Kamikawa S, Yamane F, Hori T (2004) Double-endoscopic approach for management of convexity arachnoid cyst: case report. Surg Neurol 61:483–486. doi:10.1016/S0090-3019(03)00574-3, discussion 486–487

    Article  PubMed  Google Scholar 

  2. Choi JU, Kim DS, Huh R (1999) Endoscopic approach to arachnoid cyst. Childs Nerv Syst 15:285–291

    Article  PubMed  CAS  Google Scholar 

  3. Ciricillo SF, Cogen PH, Harsh GR, Edwards MS (1991) Intracranial arachnoid cysts in children. A comparison of the effects of fenestration and shunting. J Neurosurg 74:230–235. doi:10.3171/jns.1991.74.2.0230

    Article  PubMed  CAS  Google Scholar 

  4. D'Angelo V, Gorgoglione L, Catapano G (1999) Treatment of symptomatic intracranial arachnoid cysts by stereotactic cyst–ventricular shunting. Stereotact Funct Neurosurg 72:62–69, 29672

    Article  PubMed  Google Scholar 

  5. Gui SB, Wang XS, Zong XY, Li CZ, Li B, Zhang YZ (2011) Assessment of endoscopic treatment for middle cranial fossa arachnoid cysts. Childs Nerv Syst 27:1121–1128. doi:10.1007/s00381-011-1399-8

    Article  PubMed  Google Scholar 

  6. Gui SB, Wang XS, Zong XY, Zhang YZ, Li CZ (2011b) Suprasellar cysts: clinical presentation, surgical indications, and optimal surgical treatment. BMC Neurol 11:52. doi:10.1186/1471-2377-11-52

    Article  Google Scholar 

  7. Karabatsou K, Hayhurst C, Buxton N, O'Brien DF, Mallucci CL (2007) Endoscopic management of arachnoid cysts: an advancing technique. J Neurosurg 106:455–462. doi:10.3171/ped.2007.106.6.455

    Article  PubMed  Google Scholar 

  8. Moon KS, Lee JK, Kim JH, Kim SH (2007) Spontaneous disappearance of a suprasellar arachnoid cyst: case report and review of the literature. Childs Nerv Syst 23:99–104. doi:10.1007/s00381-006-0161-0

    Article  PubMed  Google Scholar 

  9. Nowoslawska E, Polis L, Kaniewska D et al (2006) Neuroendoscopic techniques in the treatment of arachnoid cysts in children and comparison with other operative methods. Childs Nerv Syst 22:599–604. doi:10.1007/s00381-006-0068-9

    Article  PubMed  Google Scholar 

  10. Oertel JM, Baldauf J, Schroeder HW, Gaab MR (2009) Endoscopic cystoventriculostomy for treatment of paraxial arachnoid cysts. J Neurosurg 110:792–799. doi:10.3171/2008.7.JNS0841

    Article  PubMed  Google Scholar 

  11. Parsch CS, Krauss J, Hofmann E, Meixensberger J, Roosen K (1997) Arachnoid cysts associated with subdural hematomas and hygromas: analysis of 16 cases, long-term follow-up, and review of the literature. Neurosurgery 40:483–490

    PubMed  CAS  Google Scholar 

  12. Rengachary SS, Watanabe I (1981) Ultrastructure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol 40:61–83

    PubMed  CAS  Google Scholar 

  13. Shim KW, Lee YH, Park EK, Park YS, Choi JU, Kim DS (2009) Treatment option for arachnoid cysts. Childs Nerv Syst 25:1459–1466. doi:10.1007/s00381-009-0930-7

    Article  PubMed  Google Scholar 

  14. Sommer IE, Smit LM (1997) Congenital supratentorial arachnoidal and giant cysts in children: a clinical study with arguments for a conservative approach. Childs Nerv Syst 13:8–12

    Article  PubMed  CAS  Google Scholar 

  15. Spacca B, Kandasamy J, Mallucci CL, Genitori L (2010) Endoscopic treatment of middle fossa arachnoid cysts: a series of 40 patients treated endoscopically in two centres. Childs Nerv Syst 26:163–172. doi:10.1007/s00381-009-0952-1

    Article  PubMed  Google Scholar 

  16. Tamburrini G, D'Angelo L, Paternoster G, Massimi L, Caldarelli M, Di Rocco C (2007) Endoscopic management of intra and paraventricular CSF cysts. Childs Nerv Syst 23:645–651. doi:10.1007/s00381-007-0327-4

    Article  PubMed  CAS  Google Scholar 

  17. Wester K, Helland CA (2008) How often do chronic extra-cerebral haematomas occur in patients with intracranial arachnoid cysts? J Neurol Neurosurg Psychiatry 79:72–75. doi:10.1136/jnnp.2007.117358

    Article  PubMed  CAS  Google Scholar 

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Conflict of interest

None declared.

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Authors and Affiliations

  1. Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China

    Songbai Gui, Xuyi Zong & Chuzhong Li

  2. Beijing Neurosurgical Institute, Capital Medical University, Beijing, 100050, China

    Yazhuo Zhang

Authors
  1. Songbai Gui
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  2. Xuyi Zong
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  3. Chuzhong Li
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  4. Yazhuo Zhang
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Corresponding author

Correspondence to Yazhuo Zhang.

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Gui, S., Zong, X., Li, C. et al. Endoscopic treatment of convexity arachnoid cysts. Childs Nerv Syst 29, 505–508 (2013). https://doi.org/10.1007/s00381-012-1957-8

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  • DOI: https://doi.org/10.1007/s00381-012-1957-8

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