Summary
Four cases of large suprasellar arachnoid cysts in children are described. The authors propose a large fenestration into the lateral ventricles and into the basal cisterns as the treatment of choice. A specific multipurpose cerebral endoscope has been designed by the first author. The endoscopic technique with different instruments and with the use of a laser is illustrated. Results and complications are discussed.
Similar content being viewed by others
References
Albright L (1981) Treatment of Bobble-Head Doll syndrome by transcallosal cystectomy. Neurosurgery 8: 593–595
Banna M (1974) Arachnoid cysts in the hypophyseal area. Clin Radiol 25: 323–326
Benton JW, Nellhaus G, Huttenlocher PR,et al (1966) The bobble-head doll syndrome. Report of a unique truncal tremor associated with third ventricular cyst and hydrocephalus in children. Neurology 16: 725–729
Binitie O, Williams B, Case CP (1984) A suprasellar subarachnoid pouch: aetiological considerations. J Neurol Neurosurg Psychiatry 47: 1066–1074
Caemaert J, Abdullah J, Calliauw L (1992) Reflections on techniques and instrumentation in endoscopic neurosurgery. Reporting MIN II Marburg. Acta Neurochir (Wien) [Suppl] (submitted)
Danziger J, Bloch S (1974) Suprasellar arachnoid pouches. Br J Radiol 47: 448–451
Ferry PC, Feldman V, Kerber C (1974) The bobble-head syndrome due to a basal arachnoid cyst. Neurology 24: 394
Gentry LR, Smoker WR, Turski PA,et al (1986) Suprasellar arachnoid cysts. CT recognition. AJNR 7: 79–86
Gonzalez CA, Villarejo FJ, Blazquez MG,et al (1982) Suprasellar arachnoid cysts in children. Report of three cases. Acta Neurochir (Wien) 60: 281–296
Harrison MJG (1971) Cerebral arachnoid cysts in children. J Neurol Neurosurg Psychiatry 34: 316–323
Hoffman HJ, Hendrick EB, Humphreys RP,et al (1982) Investigation and management of suprasellar arachnoid cysts. J Neurosurg 57: 597–602
Jensen JP, Pendl G, Goerke W (1978) Head bobbing in a patient with a cyst of the third ventricle. Childs Brain 4: 235–241
Kasdon DL, Douglas EA, Broughan MF (1977) Suprasellar arachnoid cyst diagnosed preoperatively by computerized tomographic scanning. Surg Neurol 7: 299–303
Krawchenko J, Collins GH (1979) Pathology of an arachnoid cyst. Case report. J Neurosurg 50: 224–228
Leo JS, Pinto RS, Hulvat GF,et al (1979) Computed tomography of arachnoid cysts. Radiology 130: 675–680
Murali R, Epstein F (1979) Diagnosis and treatment of suprasellar arachnoid cyst. Report of three cases. J Neurosurg 50: 515–518
Obenchain TG, Becker DP (1972) Head bobbing associated with a cyst of the third ventricle. Case report. J Neurosurg 37: 457–459
Pierre-Kahn A,et al (1990) Presentation and. management of suprasellar arachnoid cyst. Review of 20 cases. J Neurosurg 73: 355–359
Powers SK (1992) Fenestration of intraventricular cysts using a flexible, steerable endoscope. Acta Neurochir (Wien) [Suppl] 54: 42–46
Raimondi AJ, Shimoji T, Gutierrez FA (1980) Suprasellar cysts: surgical treatment and results. Childs Brain 7: 57–72
Ring BA, Waddington M (1966) Primary arachnoid cysts of the sella turcica. AJR 98: 611–615
Russo RH, Kindt GW (1974) A neuroanatomical basis for the Bobble-head doll syndrome. J Neurol 41: 720–723
Starkman SP, Brown TC, Linell LA (1958) Cerebral arachnoid cysts. J Neuropathol Exp Neurol 17: 484–500
Williams B, Guthkelch AN (1974) Why do central arachnoid pouches expand? J Neurol Neurosurg Psychiatry 37: 1085–1092
Wirt TC, Hester RW (1977) Suprasellar arachnoid cyst. Surg Neurol 9: 322
Zamorano L, Chavantes C, Dujovny M, Malik G, Ausman J (1992) Stereotactic endoscopic interventions in cystic and intraventricular brain lesions. Acta Neurochir (Wien) [Suppl] 54: 69–76
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Caemaert, J., Abdullah, J., Calliauw, L. et al. Endoscopic treatment of suprasellar arachnoid cysts. Acta neurochir 119, 68–73 (1992). https://doi.org/10.1007/BF01541784
Issue Date:
DOI: https://doi.org/10.1007/BF01541784