Endoscopic and Microsurgical Treatment of Sylvian Fissure Arachnoid Cysts—Clinical and Radiological Outcome

Schulz, Matthias; Kimura, Takaoki; Akiyama, Osamu; Shimoji, Koki; Spors, Birgit; Miyajima, Masakazu; Thomale, Ulrich-Wilhelm

doi:10.1016/j.wneu.2015.03.026

Cited by 35 publications

(25 citation statements)

References 44 publications

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“…With the continuous development of neuroendoscopic technology, more and more surgeons regard endoscopy as the first choice to treat arachnoid cysts [2,3]. Usually, more anatomical structures can be seen and the endoscopic procedures are easier to perform than other ways in cases of the arachnoid cysts because the space is big enough for movement of the endoscope and instruments (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…The average length of staying in hospital is significantly reduced, and patients can resume their ordinary activities soon. Endoscopic techniques have been repeatedly shown to be effective and safe in treating convexity, middle fossa, interhemispheric, intraparenchymal, Sylvian, quadrigeminal, and suprasellar arachnoid cysts [1,2]. Therefore, the neuroendoscopic technology is a good choice for the patients of intracranial multiple arachnoid cysts.…”

Section: Discussionmentioning

confidence: 99%

“…When the lesions cause symptoms, surgery must be performed. More and more neurosurgeons regard endoscopic therapy as the optimal choice of cranial arachnoid cysts due to minimal invasion, fewer complications, cheaper treatment costs and shorter hospital stay [1,2]. This report will introduce an innovative management of multiple intracranial arachnoid cysts with the help of neuroendoscopy.…”

Section: Introductionmentioning

confidence: 99%

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Neuroendoscopic treatment of multiple intracranial arachnoid cysts: a case report

Chen

Zhang

et al. 2018

Chin Neurosurg Jl

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Background: Multiple arachnoid cysts are very rare within the central nervous system. The cysts will sometimes increase in size with age, lead to the mass effect or cerebrospinal fluid (CSF) flow obstruction, and cause some symptoms, which requires the surgery intervention. Case presentation: A 35-year-old female was admitted to our hospital with some symptoms related to hydrocephalus for 1 month. Brain magnetic resonance imaging (MRI) revealed well-marginated cystic lesions with CSF signal intensity in the ventricular and cisternal systems, bilateral temporal lobes, and left occipital lobe. Cine phase-contrast MRI showed the aqueduct of sylvius was blocked by the cyst in the quadrigeminal cistern. We employed endoscopic ventriculocystostomy and septostomy to create the communication of the cyst with ventricular and cistern system. As a result, the patient's symptoms were relieved. Conclusions: Endoscopic management can be an effective way for treating intracranial multiple arachnoid cysts, which is the first report of this kind. We hope that this report could help improve the management of intracranial arachnoid cysts with the neuroendoscopic technology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Neuroendoscopic treatment of multiple intracranial arachnoid cysts: a case report

Chen

Zhang

et al. 2018

Chin Neurosurg Jl

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“…Schulz et al (22) reported reduction of Sylvian arachnoid cyst volume of more than 10%, achieved in 83.3% of all patients. The median volume of cyst was significantly reduced from 83.5 mL preoperatively, to 45.5 mL then 29.0 mL at 3.5 months and 15 months respectively.…”

Section: Radiological Outcomementioning

confidence: 97%

“…Schulz et al (22), in a study of 24 patients treated by endoscopic or microsurgical fenestration, reported complete were totally obliterated in three cases (11 %, 3/28). Subdural hygroma was identified in 23 cases (82.1 %) at the immediate postoperative period (17).…”

Section: Clinical Outcomementioning

confidence: 99%

Supraorbital keyhole microsurgical fenestration of symptomatic temporal arachnoid cysts in children, advantages and limitations.

Elkheshin

Soliman²

2016

Turkish Neurosurgery

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Preoperative clinical presentation of the patients included headache (80%), nausea & vomiting (64%), drug resistant epilepsy (52%), macrocephaly (12%) papilledema (28%), motor weakness in the form of right-sided hemiparesis (12%) and cranial nerve palsy. Postoperative complete subsidence of headache was noted in 50%, while 20% remained unchanged. Drug resistant epilepsy improved in 69% of the patients. Postoperative MRI showed initial decrease in cyst volume as early as 3 months, only in a range of 5-12% volume reduction, and the late follow-up done at 6 and 18 months continued to show further reduction reported to be significant (p < 0.001). Transient subgaleal cerebrospinal fluid (CSF) collection was the most common complication (20%). Only 1 patient experienced CSF leak mandating cysto-peritoneal shunting. Conclusıon: Eyebrow supraorbital keyhole microsurgical fenestration for temporal arachnoid cysts can be performed with a fairly low risk of complications and yields a favorable improvement in clinical and neuroimaging outcomes.

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Controversies in the Treatment of Arachnoid Cysts with Special Emphasis on Temporal Arachnoid Cysts

Peraud

Ibel

2023

Advances and Technical Standards in Neurosurgery

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Endoscopic and Microsurgical Treatment of Sylvian Fissure Arachnoid Cysts—Clinical and Radiological Outcome

Cited by 35 publications

References 44 publications

Neuroendoscopic treatment of multiple intracranial arachnoid cysts: a case report

Neuroendoscopic treatment of multiple intracranial arachnoid cysts: a case report

Supraorbital keyhole microsurgical fenestration of symptomatic temporal arachnoid cysts in children, advantages and limitations.

Controversies in the Treatment of Arachnoid Cysts with Special Emphasis on Temporal Arachnoid Cysts

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