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Child's Nervous System

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01-11-2004 | Original Paper

Neuroendoscopic surgery of intracranial cysts in adults

Authors: Wuttipong Tirakotai, Dirk Michael Schulte, Bernhard L. Bauer, Helmut Bertalanffy, Dieter Hellwig

Published in: Child's Nervous System | Issue 11-12/2004

Abstract

Objects

The purpose of this study was to describe the indications, surgical techniques and postoperative outcome of neuroendoscopic interventions in a heterogeneous group of intracranial cystic pathologies.

Patients and methods

Between 1992 and 2003, 127 patients with symptomatic intracranial cysts and cystic tumours underwent neuroendoscopic treatment in our department. In 22 patients indication for surgery was colloid cysts, in 9 patients pineal cysts and in 3 patients cavum vergae cysts. Twelve arachnoid cysts, 10 cystic craniopharyngiomas, 2 Rathke’s cleft cysts and 69 malignant cystic tumours were operated on. The patients’ mean age was 45 years and their clinical presentations varied from typical signs of increased intracranial pressure to focal neurological deficits.

Results

One hundred and twenty-seven patients with intracerebral cystic space-occupying lesions were operated on using stereotactic frameless or frame-based endoscopic techniques. There was no operative mortality. The operative morbidity was 3.1% including 1 memory deficit due to fornix injury, 1 hemiparesis due to postoperative haematoma after lesion biopsy, 1 aseptic meningitis and 1 subdural fluid collection.

Conclusions

Endoscopic interventions enable neurosurgeons to manage intracranial cystic lesions. Via the same approach, the obstructed CSF pathways may be restored and consequently the increased intracranial pressure diminishes. With the aid of stereotactic guidance or a neuronavigation system, access to the lesion can be gained rapidly and with high accuracy.

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Title: Neuroendoscopic surgery of intracranial cysts in adults
Authors: Wuttipong Tirakotai
Dirk Michael Schulte
Bernhard L. Bauer
Helmut Bertalanffy
Dieter Hellwig
Publication date: 01-11-2004
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 11-12/2004
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-004-0941-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Neuroendoscopic surgery of intracranial cysts in adults

Abstract

Objects

Patients and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objects

Patients and methods

Results

Conclusions

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