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The “Complex” Management of Sylvian Fissure Arachnoid Cysts

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Neuroendoscopy

Abstract

Sylvian fissure arachnoid cysts are different from similar lesions localized in other intracranial regions. In fact, while the occurrence of chiasmatic, quadrigeminal, and, to a less extent, interhemispheric fissure cysts is nearly always recognized on the grounds of clinical manifestations of intracranial hypertension, a large proportion of the temporal region arachnoid cysts are detected incidentally in asymptomatic subjects undergoing neuroradiological examination for a variety of intercurrent causes (head injuries, psychomotor retardation, headache, and so on).

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References

  1. Arai H, Sato K, Wachi A, Okuda O, Takeda N (1996) Arachnoid cysts of the middle cranial fossa: experience with 77 patients who were treated with cysto-peritoneal shunting. Neurosurgery 39(6):1108–1112

    Article  PubMed  CAS  Google Scholar 

  2. Beltramello A, Mazza C (1985) Spontaneous disappearance of a large middle fossa arachnoid cyst. Surg Neurol 24(2):181–183

    Article  PubMed  CAS  Google Scholar 

  3. Bilginer B, Onal MB, Oguz KK, Akalan N (2009) Arachnoid cyst associated with subdural hematoma: report of three cases and review of the literature. Childs Nerv Syst 25(1):119–124

    Article  PubMed  Google Scholar 

  4. Di Rocco C, Tamburrini G, Caldarelli M, Velardi F, Santini P (2003) Prolonged ICP monitoring in Sylvian arachnoid cysts. Surg Neurol 60(3):211–218

    Article  PubMed  Google Scholar 

  5. Di Rocco C (2010) Sylvian fissure arachnoid cysts: we do operate on them but should it be done? Childs Nerv Syst 26(2):173–175

    Article  PubMed  Google Scholar 

  6. Di Rocco F, R James S, Roujeau T, Puget S, Sainte-Rose C, Zerah M (2010) Limits of endoscopic treatment of Sylvian arachnoid cysts in children. Childs Nerv Syst 26(2):155–162

    Article  PubMed  Google Scholar 

  7. Elhammady MS, Bhatia S, Ragheb J (2007) Endoscopic fenestration of middle fossa arachnoid cysts: a technical description and case series. Pediatr Neurosurg 43(3):209–215

    Article  PubMed  Google Scholar 

  8. Fewel ME, Levy ML, McComb JG (1996) Surgical treatment of 95 children with 102 intracranial arachnoid cysts. Pediatr Neurosurg 25(4):165–173

    Article  PubMed  CAS  Google Scholar 

  9. Gangemi M, Seneca V, Colella G, Cioffi V, Imperato A, Maiuri F (2011) Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts. J Neurosurg Pediatr 8(2):158–164

    Article  PubMed  Google Scholar 

  10. Gui SB, Wang XS, Zong XY, Li CZ, Li B, Zhang YZ (2011) Assessment of endoscopic treatment for middle cranial fossa arachnoid cysts. Childs Nerv Syst 27(7):1121–1128

    Article  PubMed  Google Scholar 

  11. Hamid NA, Sgouros S (2005) The use of an adjustable valve to treat over-drainage of a cyst-peritoneal shunt in a child with a large sylvian fissure arachnoid cyst. Childs Nerv Syst 21:991–994

    Article  PubMed  CAS  Google Scholar 

  12. Hopf NJ, Perneczky A (1998) Endoscopic neurosurgery and endoscope-assisted microneurosurgery for the treatment of intracranial cysts. Neurosurgery 43(6):1330–1336

    PubMed  CAS  Google Scholar 

  13. Johnson RD, Chapman S, Bojanic S (2011) Endoscopic fenestration of middle cranial fossa arachnoid cysts: does size matter? J Clin Neurosci 18(5):607–612

    Article  PubMed  Google Scholar 

  14. Kang JK, Lee KS, Lee IW, Jeun SS, Son BC, Jung CK, Park YS, Lee SW (2000) Shunt-independent surgical treatment of middle cranial fossa arachnoid cysts in children. Childs Nerv Syst 16(2):111–116

    Article  PubMed  CAS  Google Scholar 

  15. Karabagli H, Etus V (2012) Success of pure neuroendoscopic technique in the treatment of Sylvian arachnoid cysts in children. Childs Nerv Syst 28(3):445–452

    Article  PubMed  Google Scholar 

  16. Levy ML, Wang M, Aryan HE, Yoo K, Meltzer H (2003) Microsurgical keyhole approach for middle fossa arachnoid cyst fenestration. Neurosurgery 53(5):1138–1144

    Article  PubMed  Google Scholar 

  17. Levy ML, Meltzer HS, Hughes S, Aryan HE, Yoo K, Amar AP (2004) Hydrocephalus in children with middle fossa arachnoid cysts. J Neurosurg 101(Suppl 1):25–31

    PubMed  Google Scholar 

  18. McDonald PJ, Rutka JT (1997) Middle cranial fossa arachnoid cysts that come and go. Report of two cases and review of the literature. Pediatr Neurosurg 26(1):48–52

    Article  PubMed  CAS  Google Scholar 

  19. Shim KW, Lee YH, Park EK, Park YS, Choi JU, Kim DS (2009) Treatment option for arachnoid cysts. Childs Nerv Syst 25(11):1459–1466

    Article  PubMed  Google Scholar 

  20. Spacca B, Kandasamy J, Mallucci CL, Genitori L (2010) Endoscopic treatment of middle fossa arachnoid cysts: a series of 40 patients treated endoscopically in two centres. Childs Nerv Syst 26(2):163–172

    Article  PubMed  Google Scholar 

  21. Sprung C, Armbruster B, Koeppen D, Cabraja M (2011) Arachnoid cysts of the middle cranial fossa accompanied by subdural effusions–experience with 60 consecutive cases. Acta Neurochir (Wien) 153(1):75–84

    Article  Google Scholar 

  22. Tamburrini G, Caldarelli M, Massimi L, Santini P, Di Rocco C (2003) Subdural hygroma: an unwanted result of Sylvian arachnoid cyst marsupialization. Childs Nerv Syst 19(3):159–165

    PubMed  CAS  Google Scholar 

  23. Tamburrini G, Dal Fabbro M, Di Rocco C (2008) Sylvian fissure arachnoid cysts: a survey on their diagnostic workout and practical management. Childs Nerv Syst 24(5):593–604

    Article  PubMed  Google Scholar 

  24. Wester K, Hugdhal K (1995) Arachnoid cysts of the temporal fossa: impaired preoperative cognition and postoperative improvement. J Neurol Neurosurg Psychiatry 59:293–298

    Article  PubMed  CAS  Google Scholar 

  25. Wester K, Helland CA (2008) How often do chronic extra-cerebral haematomas occur in patients with intracranial arachnoid cysts? J Neurol Neurosurg Psychiatry 79(1):72–75

    Article  PubMed  CAS  Google Scholar 

  26. Yamauchi T, Saeki N, Yamaura A (1999) Spontaneous disappearance of temporo-frontal arachnoid cyst in a child. Acta Neurochir (Wien) 141(5):537–540

    Article  CAS  Google Scholar 

  27. Zada G, Krieger MD, McNatt SA, Bowen I, McComb JG (2007) Pathogenesis and treatment of intracranial arachnoid cysts in pediatric patients younger than 2 years of age. Neurosurg Focus 22(2):E1

    Article  PubMed  Google Scholar 

  28. Zeng L, Feng L, Wang J, Li J, Wang Y, Chen J, Chen J, Lei T, Li L (2008) Comparative study on two surgical procedures for middle cranial fossa arachnoid cysts. J Huazhong Univ Sci Technolog Med Sci 28(4):431–434

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Neurosurgery, Catholic University Medical School, Largo Gemelli 8, 00168, Rome, Italy

    Concezio Di Rocco MD & Gianluca Trevisi MD

  2. Department of Neurosurgery, Tor Vergata University Medical School, Rome, Italy

    Federica Novegno MD

Authors
  1. Concezio Di Rocco MD
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  2. Federica Novegno MD
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  3. Gianluca Trevisi MD
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Corresponding author

Correspondence to Concezio Di Rocco MD .

Editor information

Editors and Affiliations

  1. Dept. of Pediatric Neurosurgery, Mitera Children´s Hospital, Athens, Greece

    Spyros Sgouros

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Di Rocco, C., Novegno, F., Trevisi, G. (2014). The “Complex” Management of Sylvian Fissure Arachnoid Cysts. In: Sgouros, S. (eds) Neuroendoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39085-2_15

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  • DOI: https://doi.org/10.1007/978-3-642-39085-2_15

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-39084-5

  • Online ISBN: 978-3-642-39085-2

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