Abstract
The transventricular endoscopic approach is an effective less invasive method for the management of symptomatic intrasellar arachnoid cysts in adults. The open area of the brain tissue defect in the infundibular recess caused by the upward compression of the cyst is a common target site for fenestration from the third ventricle. This report highlighted an alternative approach through the tuber cinereum (denoted as “trans-tuberal”), which enabled the treatment of symptomatic cases with a small opening for cyst fenestration in the infundibular recess.
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References
Baskin DS, Wilson CB (1984) Transsphenoidal treatment of non-neoplastic intrasellar cysts. A report of 38 cases. J Neurosurg 60(1):8–13
Benedetti A, Carbonin C, Colombo F (1977) Possible aetiopathogenetic correlation between primary empty sella and arachnoid cyst. Acta Neurochir 38(3–4):269–278
Dhooge C, Govaert P, Martens F, Caemaert J (1992) Transventricular endoscopic investigation and treatment of suprasellar arachnoid cysts. Neuropediatrics 23(5):245–247
Dubuisson AS, Stevenaert A, Martin DH, Flandroy PP (2007) Intrasellar arachnoid cysts. Neurosurgery 61(3):505–513
Frigeri T, Paglioli E, de Oliveira E, Rhoton ALJ (2015) Microsurgical anatomy of the central lobe. J Neurosurg 122(3):483–498
Ge X, Xu X, Yu X, Chen X, Li D, Xu Y, Zhang Y (2019) Smartphone-assisted endoscopic surgery via Kocher’s point for intraventricular hemorrhage caused by thalamic hemorrhage: a comparison with external ventricular drainage. Exp Ther Med 18:1870–1876
Güdük M, HamitAytar M, Sav A, Berkman Z (2016) Intrasellar arachnoid cyst: a case report and review of the literature. Int J Surg Case Rep 23:105–108
Hasegawa M, Yamashima T, Yamashita J, Kuroda E (1991) Symptomatic intrasellar arachnoid cyst: case report. Surg Neurol 35(5):355–359
Martínez-Moreno M, Widhalm G, Mert A et al (2014) A novel protocol of continuous navigation guidance for endoscopic third ventriculostomy. Clin Neurosurg 10:514–524
McLaughlin N, Vandergrift A, Ditzel Filho LF, Shahlaie K, Eisenberg AA, Carrau RL, Cohan P, Kelly DF (2012) Endonasal management of sellar arachnoid cysts: simple cyst obliteration technique - technical note. J Neurosurg 116(4):728–740
Nomura M, Tachibana O, Hasegawa M, Kohda Y, Nakada M, Yamashima T, Yamashita J, Suzuki M (1996) Contrast enhanced MRI of intrasellar arachnoid cysts: relationship between the pituitary gland and cyst. Neuroradiology 38(6):566–568
Oyama K, Fukuhara N, Taguchi M, Takeshita A, Takeuchi Y, Yamada S (2014) Transsphenoidal cyst cisternostomy with a keyhole dural opening for sellar arachnoid cysts: technical note. Neurosurg Rev 37(2):261–267
Romero L, Ros B, Ibáñez G, Ríus F, González L, Arráez M (2014) Endoscopic third ventriculostomy: can we predict success during surgery? Neurosurg Rev 37(1):89–97
Shim KW, Park EK, Lee YH, Kim SH, Kim DS (2013) Transventricular endoscopic fenestration of intrasellar arachnoid cyst. Neurosurgery 72(4):520–528
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We would like to thank the patient who consented to this report and Editage (www.editage.com) for English language editing.
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Sasaki, N., Tani, S., Funakoshi, Y. et al. Endoscopic management of an intrasellar arachnoid cyst through the tuber cinereum in an adult: a case report. Acta Neurochir 162, 2397–2401 (2020). https://doi.org/10.1007/s00701-020-04409-3
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DOI: https://doi.org/10.1007/s00701-020-04409-3