CSF overdrainage in shunted intracranial arachnoid cysts: a series and review

Martínez‐Lage, Juan F.; Ruiz-Espejo, A.; Almagro, María-José; Alfaro, Raúl; Felipe-Murcia, M.; López-Guerrero, Antonio López

doi:10.1007/s00381-009-0910-y

Cited by 62 publications

(20 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…But CSF hypotension seems to be the triggering factor in overdrainage. 18 Under low ICP, the venous system becomes distended, leading to meningeal swelling, which in turn contributes to dural and suture fibrosis. The low ICP also leads to a deceleration in cranial growth and ultimately craniocerebral disproportion.…”

Section: Discussionmentioning

confidence: 99%

Long-term results of cystoperitoneal shunt placement for the treatment of arachnoid cysts in children

Zhang¹,

Zhang²,

Ma³

2012

PED

View full text Add to dashboard Cite

Object The authors present a single-institution experience in shunt treatment for arachnoid cysts (ACs). Methods Between January 2003 and January 2005, 62 patients with ACs underwent cystoperitoneal (CP) shunt placement at the authors' institution. All patients were evaluated with CT or MRI studies and had regular follow-up examinations. Results Forty-six cysts (74%) were within the sylvian fissure, 8 (13%) were in the cerebral convexity, and 8 (13%) were infratentorial. A CP shunt was placed in all patients. Follow-up imaging studies showed that 59 (95%) of 62 ACs reduced in size during a mean postoperative follow-up period of 6.5 years (range 6–8 years). Although a CP shunt was effective in achieving early obliteration, shunt dependency occurred within the patient group (13%). Shunt revision for various reasons was performed in 16 patients (26%). Conclusions Shunt placement is a safe and effective surgical treatment for symptomatic ACs in children, although efforts should be made to decrease complications in the procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

Long-term results of cystoperitoneal shunt placement for the treatment of arachnoid cysts in children

Zhang¹,

Zhang²,

Ma³

2012

PED

View full text Add to dashboard Cite

show abstract

“…[4] Tefl on sponge shunt has been found to be effective in recurrent arachnoid cyst. [16] Craniotomy microscopic fenestration is one of the methods of treatment for this condition.…”

Section: Discussionmentioning

confidence: 98%

Endoscopic treatment of the suprasellar arachnoid cyst

et al. 2010

View full text Add to dashboard Cite

Surgical options for suprasellar arachnoid cyst are cystoperitoneal shunt, craniotomy fenestration and endoscopic fenestration. Endoscopic management has been found to be safe and effective. We report our experience with endoscopic management in 12 (male five, female seven; age range 8 months to 42 years) patients with suprasellar arachnoid cyst. The endoscopic procedure included lateral ventricle puncture by precoronal burr hole and superior and inferior wall of the cyst was communicated with the lateral ventricle and the interpeduncular cistern respectively. All patients had hydrocephalus. Four pediatric patients had macrocephaly. All adult patients had visual disturbances. One adult patient presented with psychomotor disturbance along with features of raised intracranial pressure. All cases improved following endoscopic treatment. There were no complications or death. One patient required VP shunt. Postoperative MRI showed significant reduction in cyst volume in 11 patients. Follow-up ranged from 6 months to 6 and a half years. Our study suggests that endoscopic technique is a safe and effective alternative treatment for suprasellar arachnoid cyst. It prevents complications such as subdural effusion and intracranial hematoma, which are not uncommon with craniotomy fenestration.

show abstract

“…Unfortunately, shunt placement carries the additional risk of shunt dependency and overdrainage. 40,49,69 We believe that subdural shunt placement, a treatment that has been sometimes advocated for these lesions, 3,28 will usually result in the unintended effect of maintaining a fistula though this torn lining, thus leading to a persistent tear and shunt dependency. 33,85 Acetazolamide has occasionally been used to treat symptomatic hygromas associated with arachnoid cysts.…”

Section: Discussionmentioning

confidence: 99%

Management of subdural hygromas associated with arachnoid cysts

Maher¹,

Garton²,

Al-Holou³

et al. 2013

PED

View full text Add to dashboard Cite

Object Arachnoid cysts may occasionally be associated with subdural hygromas. The management of these concurrent findings is controversial. Methods The authors reviewed their experience with arachnoid cysts and identified 8 patients with intracranial arachnoid cysts and an associated subdural hygroma. The medical records and images for these patients were also examined. Results In total, 8 patients presented with concurrent subdural hygroma and arachnoid cyst. Of these 8 patients, 6 presented with headaches and 4 had nausea and vomiting. Six patients had a history of trauma. One patient was treated surgically at the time of initial presentation, and 7 patients were managed without surgery. All patients experienced complete resolution of their presenting signs and symptoms. Conclusions Subdural hygroma may lead to symptomatic presentation for otherwise asymptomatic arachnoid cysts. The natural course of cyst-associated subdural hygromas, even when symptomatic, is generally benign, and symptom resolution can be expected in most cases. The authors suggest that symptomatic hygroma is not an absolute indication for surgical treatment and that expectant management can result in good outcomes in many cases.

show abstract

CSF overdrainage in shunted intracranial arachnoid cysts: a series and review

Cited by 62 publications

References 24 publications

Long-term results of cystoperitoneal shunt placement for the treatment of arachnoid cysts in children

Long-term results of cystoperitoneal shunt placement for the treatment of arachnoid cysts in children

Endoscopic treatment of the suprasellar arachnoid cyst

Management of subdural hygromas associated with arachnoid cysts

Contact Info

Product

Resources

About