| Treatment of symptomatic interhemispheric arachnoid cysts by cystoperitoneal shunting. | |
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MedLine Citation:
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PMID: 20303760 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Arachnoid cysts (AC) located within the interhemispheric fissure are rare, frequently associated with agenesis or hypogenesis of the corpus callosum. The optimal method for surgical treatment is under debate. In this study, we retrospectively reviewed the clinical results of seven infants (five males, two females; mean age, 5.1 months) with large interhemispheric AC who underwent cystoperitoneal shunting (CP) and evaluated the long-term efficacy in terms of clinical data, psychomotor development and neuroimaging. All patients were symptomatic and operated on before they reached 1 year of age. In three patients, additional ventricular catheters were inserted due to concomitant hydrocephalus. The additional catheters were joined with the cyst catheters and the peritoneal catheters with Y-shaped connectors in the same session. The patients were followed up for an average of 57 months (range 24-120 months). The clinical and developmental outcome was good in most patients with complete resolution of symptoms and signs. The developmental outcome scale, which included cognitive and psychomotor development, was "good" (normal) or "fair" (near normal) for six of seven patients. Radiologically, the cyst was completely or nearly totally resolved in five patients, and partially resolved in two. In these symptomatic patients with interhemispheric AC, CP shunting provided favorable treatment outcomes with complete or near-total resolution of symptoms and reduction in cyst size or disappearance of the cyst. |
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Authors:
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Mustafa Onur Ulu; Ali Metin Kafadar; Reza Dashti; Cihan Işler; Seyfettin Uludağ; Pamir Erdinçler |
Publication Detail:
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Type: Journal Article Date: 2010-03-19 |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 17 ISSN: 1532-2653 ISO Abbreviation: J Clin Neurosci Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-03 Completed Date: 2010-08-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 700-5 Citation Subset: IM |
Copyright Information:
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Copyright 2009 Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Neurosurgery, Sakarya Toyotasa State Hospital, Giseler Mevki Nehir Kent, Tem Uzeri Adapazari Cikisi, Sakarya, Turkey. dronurulu@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arachnoid Cysts
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surgery* Cerebrospinal Fluid Shunts* / methods Child Child, Preschool Craniotomy / methods Female Follow-Up Studies Humans Infant Male Neuroendoscopy / methods* Retrospective Studies Tomography, X-Ray Computed / methods Treatment Outcome |
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