Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Child's Nervous System
Published in: Child's Nervous System 7/2011

01-07-2011 | Original Paper

Assessment of endoscopic treatment for middle cranial fossa arachnoid cysts

Authors: Song-bai Gui, Xin-sheng Wang, Xu-yi Zong, Chu-zhong Li, Bo Li, Ya-zhuo Zhang

Published in: Child's Nervous System | Issue 7/2011

Login to get access

Abstract

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.
Literature
1.
Albuquerque FC, Giannotta SL (1997) Arachnoid cyst rupture producing subdural hygroma and intracranial hypertension: case reports. Neurosurgery 41:951–955PubMedCrossRef
2.
Helland CA, Wester K (2006) A population based study of intracranial arachnoid cysts: clinical and neuroimaging outcomes following surgical cyst decompression in children. J Neurosurg Pediatr 105(5 Suppl):385–390CrossRef
3.
Balsubramaniam C, Laurent J, Rouah E et al (1989) Congenital arachnoid cysts in children. Pediatr Neurosci 15:223–228PubMedCrossRef
4.
Passero S, Filosomi G, Cioni R et al (1990) Arachnoid cysts of the middle cranial fossa: a clinical, radiological and followup study. Acta Neurol Scand 82:94–100PubMedCrossRef
5.
Santamarta D, Aguas J, Ferrer E (1995) The natural history of arachnoid cysts: endoscopic and cine-mode MRI evidence of a slit-valve mechanism. Minim Invasive Neurosurg 38:133–137PubMedCrossRef
6.
Von Wild K, Gullotta F (1987) Arachnoid cyst of the middle cranial fossa—aplasia of temporal lobe? Childs Nerv Syst 3:232–234CrossRef
7.
Levy ML, Wang M, Aryan HE et al (2003) Microsurgical keyhole approach for middle fossa arachnoid cyst fenestration. Neurosurgery 53:1138–1144, discussion 1144–5PubMedCrossRef
8.
Arroyo S, Santamaria J (1997) What is the relationship between arachnoid cysts and seizure foci? Epilepsia 38:1098–1102PubMedCrossRef
9.
10.
Wester K, Helland CA (2008) How often do chronic extra-cerebral haematomas occur in patients with intracranial arachnoid cysts? J Neurol Neurosurg Psychiatr 79:72–75PubMedCrossRef
11.
Parsch CS, Krauss J, Hofmann E et al (1997) Arachnoid cysts associated with subdural hematomas and hygromas: analysis of 16 cases, long-term follow up, and review of the literature. Neurosurgery 40:483–490PubMed
12.
Martinez-Lage JF, Valenti JA, Piqueras C et al (2006) Functional assessment of intracranial arachnoid cysts with TC99 m-HMPAO SPECT: a preliminary report. Childs Nerv Syst 22:1091–1097PubMedCrossRef
13.
Sgouros S, Chapman S (2001) Congenital middle fossa arachnoid cysts may cause global brain ischaemia: a study with 99Tc-hexamethylpropyleneamineoxime single photon emission computerised tomography scans. Pediatr Neurosurg 35:188–194PubMedCrossRef
14.
Wester K, Hugdahl K (2003) Verbal laterality and handedness in patients with intracranial arachnoid cysts. J Neurol 250:36–41PubMedCrossRef
15.
Spacca B, Kandasamy J, Mallucci CL et al (2010) Endoscopic treatment of middle fossa arachnoid cysts: a series of 40 patients treated endoscopically in two centres. Childs Nerv Syst 26:163–172PubMedCrossRef
16.
Moon KS, Lee JK, Kim JH et al (2007) Spontaneous disappearance of a suprasellar arachnoid cyst: case report and review of the literature. Childs Nerv Syst 23:99–104PubMedCrossRef
17.
Greenfield JP, Souweidane MM (2005) Endoscopic management of intracranial cysts. Neurosurg Focus 19:E7PubMedCrossRef
18.
Shim KW, Lee YH, Park EK et al (2009) Treatment option for arachnoid cysts. Childs Nerv Syst 25:1459–1466PubMedCrossRef
19.
Nowosławska E, Polis L, Kaniewska D et al (2006) Neuroendoscopic techniques in the treatment of arachnoid cysts in children and comparison with other operative methods. Childs Nerv Syst 22:599–604PubMedCrossRef
20.
Galassi E, Tognetti F, Gaist G et al (1982) CT scan and medtrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: classification and pathophysiological aspects. Surg Neurol 17:363–369PubMedCrossRef
21.
Di Rocco C (2010) Sylvian fissure arachnoid cysts: we do operate on them but should it be done? Childs Nerv Syst 26:173–175PubMedCrossRef
22.
Di Rocco F, James SR, Roujeau T et al (2010) Limits of endoscopic treatment of sylvian arachnoid cysts in children. Childs Nerv Syst 26:155–162PubMedCrossRef
23.
Arai H, Sato K, Wachi A et al (1996) Arachnoid cysts of the middle cranial fossa: experience with 77 patients who were treated with cystoperitoneal shunting. Neurosurgery 39:1108–1112PubMedCrossRef
24.
Kamikawa S, Inui A, Tamaki N et al (2001) Application of flexible neuroendoscopes to intracerebroventricular arachnoid cysts in children: use of videoscopes. Minim Invasive Neurosurg 44:186–189PubMedCrossRef
25.
Kabil MS, Shahinian HK (2007) Fully endoscopic supraorbital resection of congenital middle cranial fossa arachnoid cysts: report of 2 cases. Pediatr Neurosurg 43:316–322PubMedCrossRef
26.
Oertel JM, Baldauf J, Schroeder HW et al (2009) Endoscopic cystoventriculostomy for treatment of paraxial arachnoid cysts. J Neurosurg 110(4):792–799PubMedCrossRef
27.
Elhammady MS, Bhatia S, Ragheb J (2007) Endoscopic fenestration of middle fossa arachnoid cysts: a technical description and case series. Pediatr Neurosurg 43:209–215PubMedCrossRef
28.
Karabatsou K, Hayhurst C, Buxton N et al (2007) Endoscopic management of arachnoid cysts: an advancing technique. J Neurosurg 106(6 Suppl):455–462PubMed
Metadata
Title
Assessment of endoscopic treatment for middle cranial fossa arachnoid cysts
Authors
Song-bai Gui
Xin-sheng Wang
Xu-yi Zong
Chu-zhong Li
Bo Li
Ya-zhuo Zhang
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 7/2011
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-011-1399-8

Other articles of this Issue 7/2011

Child's Nervous System 7/2011 Go to the issue

Cover Picture

Félix Vicq d’Azyr (1746–1794): early founder of neuroanatomy and royal French physician

Original Paper

The relationship between basal cisterns on CT and time-linked intracranial pressure in paediatric head injury

Original Paper

Spinal cord tumors in children under the age of 3 years: a retrospective Canadian review

Case Report

Pituitary duplication: a rare cause of precocious puberty

Review Paper

Idiopathic intervertebral disk calcification in childhood: a case report and review of literature

Commentary

Comment to the paper: incidence of mutism, dysarthria, and dysphagia associated with childhood posterior fossa tumor