Document Detail


Suprasellar arachnoid cysts: endoscopy versus microsurgical cyst excision and shunting.
MedLine Citation:
PMID:  17612918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study is to define the indications to endoscopy versus other surgical procedures in the management of suprasellar arachnoid cysts from a personal series and an extensive literature review. Five symptomatic patients (two children and three adults) with suprasellar arachnoid cysts were treated by endoscopic fenestration in our neurosurgical unit. The endoscopic procedure consisted of ventricle-cyst-cisternostomy in three cases and ventricle-cystostomy in two. Four patients were cured after the endoscopic procedure alone, whereas another with rhinoliquorrhoea later required a craniotomy. The literature review includes 102 patients treated by endoscopic fenestration and 74 treated by other procedures, including microsurgical cyst resection through craniotomy (38 cases), shunt of the cyst (21 cases) and percutaneous ventricle-cystostomy (15 cases). Among the reviewed cases, the rate of cure or improvement was 90% (92 among 102 cases including ours) after endoscopy and 81% (60 among 74 cases) after other surgical procedures. The results of this study suggest that endoscopic ventricle-cyst cisternostomy is the best treatment for suprasellar arachnoid cysts, because it is less invasive, provides the best results and avoids shunt dependency in most cases.
Authors:
M Gangemi; G Colella; F Magro; F Maiuri
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of neurosurgery     Volume:  21     ISSN:  0268-8697     ISO Abbreviation:  Br J Neurosurg     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-07-06     Completed Date:  2007-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8800054     Medline TA:  Br J Neurosurg     Country:  England    
Other Details:
Languages:  eng     Pagination:  276-80     Citation Subset:  IM    
Affiliation:
Department of Neurological Sciences, Unit of Neurosurgery, Federico II University, Naples, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arachnoid Cysts / diagnosis,  pathology,  surgery*
Cerebrospinal Fluid Shunts
Child
Endoscopy / methods*
Female
Humans
Infant
Magnetic Resonance Imaging
Male
Microsurgery / methods
Neurosurgical Procedures / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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