Congenital Intracranial Cysts: Clinical Findings, Diagnosis,Treatment and Follow-Up. A Multicenter, Retrospective Long-Term Evaluation of 72 Children

Ehrensberger, J; Gysler, R.; Illi, O. E.; Jordi, R; Kaiser, Georges L.; Kummer, M; Rösslein, R; Weibel, Marie-Laure

doi:10.1055/s-2008-1066038

Cited by 16 publications

(3 citation statements)

References 7 publications

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“…Oberbauer et al [21] and Bittel et al [30] demon strated a correlation between postoperative cyst size and clinical outcome. Serial C T or M R I scans were used for follow-up in our series to determine the size o f the cyst(s) after surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of 95 Children with 102 Intracranial Arachnoid Cysts

Fewel

Levy

McComb³

1996

Pediatr Neurosurg

117

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Our review of 95 children with 102 intracranial arachnoid cysts treated surgically from 1976 to 1996 is presented. These patients are divided into two groups, those initially treated from 1976 to 1986 and those treated from 1987 to May 1996, to see whether any improvement in outcome had occurred. There were 31 patients (20 males/11 females) with 34 cysts treated from 1976 to 1986 and 64 patients (45 males/19 females) with 68 cysts treated from 1987 to 1996. The mean age at presentation for all cases was 4.9 years (range from 3 days to 17.8 years). The most common cyst location was the middle fossa. Treatment options for the management of intracranial arachnoid cysts include fenestration or shunting. We consider the avoidance of a shunt as a primary goal in the management of these patients. Accordingly, 82 (80%) of the cysts in our series were treated initially by fenestration. Fifty percent of those initially fenestrated from 1976 to 1986 required no further treatment as compared with 60% fenestrated from 1987 to 1996. The success rate of fenestration among those patients without associated hydrocephalus was significantly higher than in those with hydrocephalus; 73% without hydrocephalus required no additional treatment versus 32% with hydrocephalus. Seventeen percent of the patients treated from 1976 to 1986 required a subsequent ven-triculoperitoneal shunt as compared with 22% treated from 1987 to 1996. Twenty-nine percent of those patients initially fenestrated from 1976 to 1986 required a subsequent cystoperitoneal shunt as compared with only 12% treated from 1987 to 1996. Although not statistically significant, the second group of patients had a lower rate of reoperation, fewer complications, and a better clinical outcome than the first group. We recommend that in patients without evidence of hydrocephalus, cyst fenestration be considered as the primary procedure, as 73% of the patients in the two series remain shunt free. In those patients with hydrocephalus, we still recommend cyst fenestration, but with a ventriculoperitoneal shunt inserted before fenestration if the hydrocephalus is marked or after fenestration if the hydrocephalus is progressive.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of 95 Children with 102 Intracranial Arachnoid Cysts

Fewel

Levy

McComb³

1996

Pediatr Neurosurg

117

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“…8,9 In humans, surgical treatment of large arachnoid cysts is recommended after inflammation, neoplasia, or other pathology has been ruled out as the cause of clinical signs. 11 Guidelines are less clear for asymptomatic patients with cysts. Some neurologists advocate prophylactic fenestration to prevent traumatic rupture of veins crossing the cyst that could cause neurological impairment.…”

mentioning

confidence: 99%

Intracranial Arachnoid Cysts: Are They Clinically Significant?

Duque¹,

Parent²,

Brisson³

et al. 2005

Journal of Veterinary Internal Medicine

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“…Relieving the intercavity pressure may not signi cantly reduce the size of the cyst, but will help prevent the cyst from expanding into surrounding areas, which could cause headaches and other neurological symptoms. 7 In such symptomatic cases, the pressure may be relieved by cystoperitoneal or ventriculoperitoneal shunts, or by opening the cyst to the subarachnoid space. 8 The prognosis of porencephaly is independent of the cause and depends on the location and extent of the lesion.…”

Section: Introductionmentioning

confidence: 99%

Traumatic porencephalic cyst and cholesteatoma of the ear

et al. 2000

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Porencephalic cyst expanding into the ear is a very rare complication of temporal bone fracture. We report a case of a 20-year-old male who developed a traumatic porencephalic cyst of the temporal lobe expanding into the ear through a tegmen fracture in association with a cholesteatoma. The clinical presentation was otitic meningitis. This occurrence was not encountered in any of the cases reviewed in the literature. The diagnosis, pathogenesis, treatment and prognosis of this condition are reviewed.

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Congenital Intracranial Cysts: Clinical Findings, Diagnosis,Treatment and Follow-Up. A Multicenter, Retrospective Long-Term Evaluation of 72 Children

Cited by 16 publications

References 7 publications

Surgical Treatment of 95 Children with 102 Intracranial Arachnoid Cysts

Surgical Treatment of 95 Children with 102 Intracranial Arachnoid Cysts

Intracranial Arachnoid Cysts: Are They Clinically Significant?

Traumatic porencephalic cyst and cholesteatoma of the ear

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