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Shunt Placement for Arachnoid Cysts

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Arachnoid Cysts

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Abstract

Intracranial arachnoid cysts (ACs) are congenital lesions formed by the accumulation of cerebrospinal fluid between the arachnoid layers. The inadequacy of our current knowledge about the etiopathogenesis, progression, and possible complications of the disease creates a problem in the selection of the appropriate treatment strategy. A correctly placed indication is the first and most important step in the surgical treatment of ACs. The selection of the appropriate surgical method in ACs depends on the patient’s clinical findings, age, radiological findings, location and size of the cyst, and even the clinical experience of the surgeon. There are two main methods applied for the surgical treatment of symptomatic cysts: (1) cystoperitoneal (CP) shunt and/or ventriculoperitoneal (VP) shunt and (2) fenestration between the cisterna and ventricle with the cyst mediated by endoscopy or craniotomy. CP has similar clinical and radiological outcomes for ACs despite advances in fenestration techniques with endoscopic and microsurgical craniotomy. However, it has a lower-risk profile compared to other approaches. This makes the CP shunt or CP shunt combined with VP shunt still a safe and effective surgical treatment strategy.

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Authors and Affiliations

  1. Department of Neurosurgery, Süleyman Demirel University School of Medicine, Isparta, Turkey

    Kemal Ertilav & Ali Serdar Oğuzoğlu

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  1. Kemal Ertilav
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  2. Ali Serdar Oğuzoğlu
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Editors and Affiliations

  1. Department of Neurosurgery, Aydın Adnan Menderes University, Aydın, Türkiye

    Mehmet Turgut

  2. Department of Neurosurgery, Mohammed V University in Rabat, Rabat, Morocco

    Ali Akhaddar

  3. Department of Radiology, Ankara Medipol University, Ankara, Türkiye

    Ahmet T. Turgut

  4. Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, NY, USA

    Walter A. Hall

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Ertilav, K., Oğuzoğlu, A.S. (2023). Shunt Placement for Arachnoid Cysts. In: Turgut, M., Akhaddar, A., Turgut, A.T., Hall, W.A. (eds) Arachnoid Cysts. Springer, Cham. https://doi.org/10.1007/978-3-031-22701-1_26

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  • DOI: https://doi.org/10.1007/978-3-031-22701-1_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-22700-4

  • Online ISBN: 978-3-031-22701-1

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