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Acta Neurochirurgica
Published in: Acta Neurochirurgica 12/2017

01-12-2017 | How I Do it - Neurosurgical Techniques

Endoscopic treatment of middle fossa arachnoid cysts

Authors: Waleed A. Azab, Mohamed Almanabri, Waleed Yosef

Published in: Acta Neurochirurgica | Issue 12/2017

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Abstract

Background

Endoscopic treatment of middle fossa arachnoid cysts is an alternative option to microsurgical fenestration and shunting procedures. The procedure is minimally invasive and obviates the morbidity of craniotomy and shunting.

Methods

Operative charts and videos of patients undergoing endoscopic fenestration of middle fossa arachnoid cysts were retrieved from the senior author’s database of endoscopic procedures and reviewed. Description of the surgical techniques was then formulated.

Conclusions

Endoscopic fenestration of middle fossa arachnoid cysts entails communicating the cyst cavity to the basal cisterns via multiple fenestrations that should be made as large as possible with care to avoid injury of the juxtaposed neurovascular structures.
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Elhammady MS, Bhatia S, Ragheb J (2007) Endoscopic fenestration of middle fossa arachnoid cysts: a technical description and case series. Pediatr Neurosurg 43(3):209–215CrossRefPubMed
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Froelich SC, Abdel Aziz KM, Cohen PD, van Loveren HR, Keller JT (2008) Microsurgical and endoscopic anatomy of Liliequist’s membrane: a complex and variable structure of the basal cisterns. Neurosurgery 63:ONS1–ONS8PubMed
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Metadata
Title
Endoscopic treatment of middle fossa arachnoid cysts
Authors
Waleed A. Azab
Mohamed Almanabri
Waleed Yosef
Publication date
01-12-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 12/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3320-z

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