Assessment of endoscopic treatment for middle cranial fossa arachnoid cysts
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Song-bai Gui & Xin-sheng Wang & Xu-yi Zong & Chu-zhong Li & Bo Li & Ya-zhuo Zhang
- چاپ و سال / کشور: 2011
Description
Background Endoscopic cystocisternotomy is one of three surgical methods used to treat middle cranial fossa arachnoid cysts. There is debate about which method is the best. Objective The aim of this study is to evaluate the effectiveness and safety of endoscopic cystocisternotomy for treatment of arachnoid cysts of the middle cranial fossa. Methods Thirty-two patients with arachnoid cysts of the middle cranial fossa who had undergone endoscopic cystocisternal fenestration between 2004 and 2009 were studied retrospectively. Data were obtained on clinical and neuroradiological presentation, indications to treat, surgical technique, complications, and the results of clinical and neuroradiological follow-up. Results Among the 27 patients with symptoms before surgery, 8 had disappearance of symptoms and 17 had improvement of symptoms. The cyst was reduced in size or it completely disappeared in 24 (75%) patients. The incidence rate of complications was 18.8%. Conclusions Endoscopic cystocisternal fenestration is an effective treatment for symptomatic arachnoid cysts of the middle cranial fossa and should be the initial surgical procedure
Childs Nerv Syst (2011) 27:1121–1128 DOI 10.1007/s00381-011-1399-8 Received: 19 October 2010 / Accepted: 18 January 2011 / Published online: 9 February 2011
