scholarly journals Supraorbital keyhole microsurgical fenestration of symptomatic temporal arachnoid cysts in children, advantages and limitations.

2016 ◽  
Author(s):  
Sherif Elkheshin ◽  
Ahmed Soliman
Keyword(s):  
Arachnoid Cysts ◽  
Microsurgical Fenestration

Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts

2011 ◽  
Vol 8 (2) ◽  
pp. 158-164 ◽  
Author(s):  
Michelangelo Gangemi ◽  
Vincenzo Seneca ◽  
Giuseppe Colella ◽  
Valentina Cioffi ◽  
Alessia Imperato ◽  
...  
Keyword(s):  
Success Rate ◽  
Posterior Fossa ◽  
Surgical Techniques ◽  
Posterior Cranial Fossa ◽  
Arachnoid Cysts ◽  
Therapeutic Modality ◽  
Neurosurgical Department ◽  
Cyst Excision ◽  
Microsurgical Fenestration ◽  
Cranial Fossa

Object Endoscopic surgery is routinely used to treat intracranial arachnoid cysts. However, the indications and results with respect to the different cyst locations, compared with those of microsurgical fenestration and cyst shunting, deserve to be discussed. Methods The authors review 18 patients with intracranial arachnoid cysts treated by pure endoscopic technique in their neurosurgical department. There were 10 male and 8 female patients ranging in age from 2 months to 48 years (median age 19.4 years). The cyst location was suprasellar in 5 cases, quadrigeminal in 5, cortical hemispheric in 2, sylvian region in 3, and posterior fossa in 3. The authors also reviewed the literature, comprising 61 reports for an overall number of 645 patients with intracranial arachnoid cysts treated by different surgical techniques. These techniques included microsurgical excision or fenestration by craniotomy, cyst shunting, and endoscopic fenestration. The surgical results of the different techniques according to the different cyst locations underwent statistical analysis. Results The overall success rate (complete or partial clinical remission) in the authors' endoscopic series was 83.3% (15 of 18 cases), which is rather similar to that of 222 patients treated endoscopically and reported on in the literature (84.2%). In the overall endoscopic group, a higher success rate was found for cysts in the suprasellar (89.7%), quadrigeminal (88.5%), and posterior cranial fossa (83.3%) regions compared with sylvian (70%) and cortical and interhemispheric (75%) regions. The statistical comparison of the results of the endoscopic series with those of craniotomy and shunting revealed no significant differences for suprasellar, quadrigeminal, or posterior cranial fossa cysts, whereas the success rate of endoscopy is lower than that of other techniques for sylvian and cortical cysts. Conclusions Endoscopy is a safe and effective therapeutic modality for patients with intracranial arachnoid cysts. Cysts of the suprasellar and quadrigeminal regions and posterior fossa are the best indications for neuroendoscopy; on the other hand, cortical cysts are best treated by microsurgical fenestration or shunting. For sylvian cysts, the endoscopic procedure may be advocated in most cases.

Letter to the Editor. Management of pediatric temporosylvian arachnoid cysts

2019 ◽  
Vol 24 (4) ◽  
pp. 478-479
Author(s):  
Ulrich-Wilhelm Thomale ◽  
Matthias Schulz
Keyword(s):  
Arachnoid Cysts ◽  
Letter To The Editor

Do arachnoid cysts grow? A retrospective volumetric study

2021 ◽  
Author(s):  
Sven Kühn ◽  
Sven-Erik Sönksen ◽  
Frank Jakobs ◽  
Yvonne Zschommler ◽  
Frank Weber
Keyword(s):  
Arachnoid Cysts ◽  
Volumetric Study

scholarly journals Surgical outcome of primary intradural spinal arachnoid cysts: a series of 10 cases

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Essam Abdelhameed ◽  
Ahmed Ali Morsy
Keyword(s):  
Tertiary Care ◽  
Outer Wall ◽  
Arachnoid Cysts ◽  
Neurophysiological Monitoring ◽  
Japanese Orthopedic Association ◽  
Common Location ◽  
Before And After ◽  
Microsurgical Resection ◽  
Tertiary Care Centers ◽  
Intradural Arachnoid Cysts

Abstract Background Primary intradural spinal arachnoid cysts are rare pathologies of uncertain etiology and variable presentation from no symptoms to myelopathy or radiculopathy according to cord or root compression. MRI with diffusion and contrast differentiates them from many pathologies. There is a lot of debate regarding when to treat and how to treat such rare pathologies. Objective We present a series of 10 primary intradural arachnoid cysts and evaluate outcome after surgery. Methods This retrospective study includes patients having primary intradural spinal arachnoid cysts operated in two tertiary care centers from October 2012 till October 2019. Symptomatic cysts were subjected to microsurgical resection or outer wall excision and inner wall marsupialization under neurophysiological monitoring. The Japanese Orthopedic Association Score was used for clinical evaluation while MRI with contrast and diffusion was used for radiological evaluation before and after surgery. Results This series included 10 patients, 4 males and 6 females, with mean age of 40 years. Pain was the most common presentation. The most common location was dorsal thoracic region. Total excision was achieved in 2 cases and marsupialization in 8 cases. All symptoms improved either completely or partially after surgery. No neurological deterioration or recurrence was reported during the follow-up period in this series. Conclusion Treatment of symptomatic primary intradural spinal arachnoid cysts should be microsurgical resection, when the cyst is adherent to the cord, microscopic fenestration can be safe and effective.

scholarly journals PKD1-Associated Arachnoid Cysts in Autosomal Dominant Polycystic Kidney Disease

2021 ◽  
Vol 30 (9) ◽  
pp. 105943
Author(s):  
Kaori Shigemori ◽  
Eiji Higashihara ◽  
Masayuki Itoh ◽  
Hiroki Yoshida ◽  
Kouji Yamamoto ◽  
...  
Keyword(s):  
Kidney Disease ◽  
Polycystic Kidney Disease ◽  
Autosomal Dominant ◽  
Arachnoid Cysts ◽  
Polycystic Kidney ◽  
Autosomal Dominant Polycystic Kidney

A sacral arachnoid cyst causing holocord syringomyelia

2011 ◽  
Vol 8 (3) ◽  
pp. 299-302 ◽  
Author(s):  
Sumit Thakar ◽  
Narayanam Anantha Sai Kiran ◽  
Alangar S. Hegde
Keyword(s):  
Mr Imaging ◽  
Arachnoid Cyst ◽  
Complete Resolution ◽  
Spastic Paraparesis ◽  
Arachnoid Cysts ◽  
Sensory Loss ◽  
Low Back ◽  
Filum Terminale ◽  
Sensory Deficits

Spinal extradural arachnoid cysts (ACs) have an infrequent predilection for the sacrum. As with their counterparts in other regions of the spine, cysts in this location are mostly asymptomatic. Common presentations in symptomatic cases include pain in the low back or perineum, radiculopathy, and sphincteric dysfunction. The authors report a hitherto undescribed presentation in which the predominant symptoms are those related to an associated holocord syrinx. This 15-year-old boy presented with fluctuating, spastic paraparesis and a dissociated sensory loss in the trunk. Admission MR imaging of the spine showed an extradural AC from S-2 to S-4 and a holocord, nonenhancing syrinx. The patient underwent S-2 laminectomy, fenestration of the cyst, and partial excision of its wall. Intradural exploration revealed a normal-looking filum terminale and the absence of any dural communication with the cyst. At a follow-up visit 6 months after surgery, his motor and sensory deficits had resolved. Follow-up MR imaging showed complete resolution of the syrinx in the absence of the sacral AC. This is the first report of a sacral extradural AC causing holocord syringomyelia. Because conventional theories of syrinx formation were not helpful in elucidating this case, a hypothesis is postulated to explain the clinicoradiological oddity.

Macrocephaly, dystonia, and bilateral temporal arachnoid cysts: glutaric aciduria type 1

1994 ◽  
Vol 10 (3) ◽  
pp. 198-203 ◽  
Author(s):  
Juan F. Mart�nez-Lage ◽  
Carlos Casas ◽  
Maria Asunci�n Fern�ndez ◽  
Alberto Puche ◽  
Trinidad Rodriguez Costa ◽  
...  
Keyword(s):  
Glutaric Aciduria Type ◽  
Arachnoid Cysts ◽  
Glutaric Aciduria Type 1 ◽  
Glutaric Aciduria
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